ANTONIO JOSE RODRIGUES PEREIRA
Índice h a partir de 2011
4
Projetos de Pesquisa
Unidades Organizacionais
FMUSP, Hospital das Clínicas, Faculdade de Medicina
PAHC, Hospital das Clínicas, Faculdade de Medicina
PAHC, Hospital das Clínicas, Faculdade de Medicina
3 resultados
Resultados de Busca
Agora exibindo 1 - 3 de 3
- The Impact of Artificial Intelligence on Waiting Time for Medical Care in an Urgent Care Service for COVID-19: Single-Center Prospective Study(2022) BIN, Kaio Jia; MELO, Adler Araujo Ribeiro; ROCHA, Jose Guilherme Moraes Franco da; ALMEIDA, Renata Pivi de; COBELLO JUNIOR, Vilson; MAIA, Fernando Liebhart; FARIA, Elizabeth de; PEREIRA, Antonio Jose; BATTISTELLA, Linamara Rizzo; ONO, Suzane KiokoBackground: To demonstrate the value of implementation of an artificial intelligence solution in health care service, a winning project of the Massachusetts Institute of Technology Hacking Medicine Brazil competition was implemented in an urgent care service for health care professionals at Hospital das Clinicas of the Faculdade de Medicina da Universidade de Sao Paulo during the COVID-19 pandemic. Objective: The aim of this study was to determine the impact of implementation of the digital solution in the urgent care service, assessing the reduction of nonvalue-added activities and its effect on the nurses' time required for screening and the waiting time for patients to receive medical care. Methods: This was a single-center, comparative, prospective study designed according to the Public Health England guide ""Evaluating Digital Products for Health."" A total of 38,042 visits were analyzed over 18 months to determine the impact of implementing the digital solution. Medical care registration, health screening, and waiting time for medical care were compared before and after implementation of the digital solution. Results: The digital solution automated 92% of medical care registrations. The time for health screening increased by approximately 16% during the implementation and in the first 3 months after the implementation. The waiting time for medical care after automation with the digital solution was reduced by approximately 12 minutes compared with that required for visits without automation. The total time savings in the 12 months after implementation was estimated to be 2508 hours. Conclusions: The digital solution was able to reduce nonvalue-added activities, without a substantial impact on health screening, and further saved waiting time for medical care in an urgent care service in Brazil during the COVID-19 pandemic.
- User Experience Regarding Digital Primary Health Care in Santarem, Amazon: Evaluation of Patient Satisfaction and Doctor's Feedback(2023) BIN, Kaio Jia; ALVES, Patricia Gabriela Santana; COSTA, Raquel; EIRAS, Paula Cruz; ARAUJO, Luciano Nader de; PEREIRA, Antonio Jose Rodrigues; CARVALHO, Carlos; MALIK, Ana MariaBackground: With the arrival of the pandemic, telemedicine has been widely used to provide medical care and can be used to assist patients in regions far from urban centers that are difficult to access, such as riverside communities in the Brazilian Amazon region. A telemedicine project connecting Sao Paulo, a mega-metropolis, to Paysandu, a riverside district in the Amazon, was built to serve the local population where access to the nearest medical care is 6 hours away by speedboat. Objective: This study aims to assess the feedback from patients and doctors regarding the use of telemedicine in outpatient care at Paysandu, a riverside district in the Amazon. Methods: This is a single-center study following the guidelines ""Evaluating digital health products"" from Public Health England, with local adaptations for the project and the Brazilian reality, that was conducted between Sao Paulo and Santarem in Brazil. A survey was carried out with patients who were treated by a doctor in the city of Sao Paulo, about 2500 km from the local basic health unit, between September 27 to December 15, 2021. At the end of each teleconsultation, the attending physician answered an administrative survey form, and the patient answered a satisfaction survey. Results: A total of 111 patients completed the satisfaction survey from a total of 220 consultations carried out during the period (95% CI margin error 0.22%). According to the survey, more than 95% of patients were satisfied with the service, 87.4% (n=97) had previous experience with videoconferencing, and 76.6% (n=85) reported that their demand was fully solved. Additionally, according to the hired doctor's feedback, the average duration of the consultations was between 15 and 20 minutes. Of the 220 teleconsultations performed, 90.9% (n=200) of the demands were solved with support from the local health team, and 99.1% Conclusions: This teleconsultation project between Sao Paulo and Paysandu showed that it is possible to offer medical care from more developed locations to communities far from urban centers, as is the case with Paysandu District. Beyond the feasibility of the infrastructure, acceptance and satisfaction among patients were high. This health care supply model has proven to be functional and should be expanded nationally or perhaps internationally to regions lacking medical assistance. Escalation of the project does not seem too difficult once infrastructure issues are solved.
- Telemedicine in Brazil: Teleconsultations at the Largest University Hospital in the Country(2023) SCUDELLER, Paula Gobi; PEREIRA, Antonio Jose; CERRI, Giovanni Guido; JATENE, Fabio Biscegli; BEGO, Marco; AMARAL, Talita Freitas; GARCIA, Michelle Louvaes; LAMAS, Celina Almeida; ALVARENGA, Aline Morgan; GUTIERREZ, Marco Antonio; COBELLO JUNIOR, Vilson; CARVALHO, Carlos Roberto Ribeiro de; Teleconsultation HCFMUSP Study GrpThe coronavirus disease (COVID-19) pandemic leveraged telemedicine worldwide mainly due to the need for social distancing, patient safety, and infection prevention. The Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HCFMUSP) was a key reference site in the treatment of COVID-19 severe cases in the country. To continue patient's health care, it became necessary to increase the number of teleconsultations and standardize it institutionally. Herein, we briefly described how the HCFMUSP improved the teleconsultation health care service during the COVID-19 pandemic, highlighting the implementation of important innovations and the throughout standardization process, including patients and professional workflow. We also detailed the methodology used to implement or improve teleconsultation in a medical/multidisciplinary specialty at HCFMUSP. All these efforts made the HCFMUSP reach the goal of converting 15% of all face-to-face consultations into teleconsultations only in 2021. In addition, there were more than 370,000 teleconsultations until the end of 2022. Our experience has shown that having a supporting team, a digital certification process, and the data integration were key factors toward the successful implementation of the teleconsultation services. We believe that progressing toward teleconsultation will improve the population covered by health care services in Brazil, as well as contribute to a reduction of waiting time, and solving costs to health care institutions and patients. We expect this report of our experience in teleconsultation implementation could inspire and guide other health care institutions in the development of telemedicine.