0002/2026 - Teleconsulta na atenção primária: modelo conceitual e implementação em territórios de favelas Teleconsultation in primary care: conceptual model and implementation in favela territories
A Atenção Primária em Saúde é central na garantia do acesso à saúde, sendo a porta de entrada preferencial para o Sistema Único de Saúde. O município do Rio de Janeiro avançou em cobertura, mas ainda enfrenta desafios, especialmente nos territórios vulnerabilizados. Nesse sentido, propôs-se um modelo inovador de teleconsulta, no conjunto de favelas da Maré, integrando poder público (Ministério da Saúde e Secretaria de Saúde do Município do Rio de Janeiro), academia (FIOCRUZ) e organização de base comunitária (Redes da Maré). O artigo apresenta as etapas da implementação do piloto, enfatizando o contexto territorial, atores envolvidos, recursos e modelo de governança e propõe um framework conceitual, combinado a métodos qualitativos e quantitativos, para descrever a experiência. Entre novembro de 2024 e junho de 2025, foram realizadas 1.017 teleconsultas: seguimento à atendimentos recentes (58%), condições crônicas e ciclos de vida (33%), condições agudas (5%) e emissão de receitas (2%), mesmo em conflitos territoriais. Contudo, foram encontradas barreiras, como: dificuldade em manusear as ferramentas, insegurança dos dados e acessibilidade. O modelo mostrou-se exitoso em sua fase inicial, trazendo subsídios para uma política nacional de teleconsultas para territórios vulnerabilizados.
Palavras-chave:
Atenção Primária à Saúde; Vulnerabilidade Social, Consulta Remota.
Abstract:
Primary Health Care is central to ensuring access to healthcare and is the preferred gateway to the Unified Health System. The municipality of Rio de Janeiro has made progress in coverage, but still faces challenges, especially in vulnerable areas. An innovative teleconsultation model was proposed in the Maré favelas compound, integrating public authorities (Ministry of Health and Rio de Janeiro Municipal Health Department), academia (FIOCRUZ), and community-based organizations (Redes da Maré). Therefore, this article presents the pilot implementation stages, emphasizing the territorial context, stakeholders involved, resources, and governance. It proposes a conceptual framework, combined with qualitative and quantitative methods, to describe the experience. A total of 1.017 teleconsultations were conducted (November 2024 to June 2025) with the following profiles: follow-up on recent appointments (58%), chronic conditions and life cycles (33%), acute conditions (5%), and prescription issuance (2%), even during territorial conflicts. However, barriers were encountered, such as difficulty using the tools, data insecurity, and accessibility. The model proved successful in its initial phase, providing support for a national teleconsultation policy for vulnerable territories.
Keywords:
Primary Health Care; Social Vulnerability, Remote Consultation
Teleconsultation in primary care: conceptual model and implementation in favela territories
Resumo (abstract):
Primary Health Care is central to ensuring access to healthcare and is the preferred gateway to the Unified Health System. The municipality of Rio de Janeiro has made progress in coverage, but still faces challenges, especially in vulnerable areas. An innovative teleconsultation model was proposed in the Maré favelas compound, integrating public authorities (Ministry of Health and Rio de Janeiro Municipal Health Department), academia (FIOCRUZ), and community-based organizations (Redes da Maré). Therefore, this article presents the pilot implementation stages, emphasizing the territorial context, stakeholders involved, resources, and governance. It proposes a conceptual framework, combined with qualitative and quantitative methods, to describe the experience. A total of 1.017 teleconsultations were conducted (November 2024 to June 2025) with the following profiles: follow-up on recent appointments (58%), chronic conditions and life cycles (33%), acute conditions (5%), and prescription issuance (2%), even during territorial conflicts. However, barriers were encountered, such as difficulty using the tools, data insecurity, and accessibility. The model proved successful in its initial phase, providing support for a national teleconsultation policy for vulnerable territories.
Palavras-chave (keywords):
Primary Health Care; Social Vulnerability, Remote Consultation
Britto, FA, Dias, MNF, Batista-da-Silva, A A, Gaspar, FL, Araújo, LG, Batista, JPM, Arouca, LE, Dias, CMC, Bozza, FA, Bortolon, P. Teleconsulta na atenção primária: modelo conceitual e implementação em territórios de favelas. Cien Saude Colet [periódico na internet] (2026/jan). [Citado em 14/08/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/teleconsulta-na-atencao-primaria-modelo-conceitual-e-implementacao-em-territorios-de-favelas/19900?id=19900
