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Teleconsultation in primary care: conceptual model and implementation in favela territories
Fernanda Adães Britto1, Monique Nunes Fiuza Dias1, Amanda de Araujo Batista-da-Silva2
1Secretaria Municipal de Saúde do Rio de Janeiro. R. Afonso Cavalcanti 455, z3, Cidade Nova. 20211-110 Rio de Janeiro RJ Brasil. fernanda.adaes@gmail.com.
Ciencia & Saude Coletiva
|July 1, 2026
Summary
Primary Health Care in Rio de Janeiro
Area of Science:
- Public Health
- Health Informatics
- Telemedicine
Background:
- Primary Health Care is vital for healthcare access.
- Rio de Janeiro faces challenges in vulnerable areas.
- An innovative teleconsultation model was piloted in Maré favelas.
Purpose of the Study:
- To present the pilot implementation of a teleconsultation model in vulnerable territories.
- To describe the territorial context, stakeholders, resources, and governance.
- To propose a conceptual framework for evaluating the model.
Main Methods:
- Qualitative and quantitative methods were employed.
- 1,017 teleconsultations were conducted between November 2024 and June 2025.
- The study focused on implementation stages and barriers.
Main Results:
- Teleconsultations supported follow-up appointments (58%), chronic conditions (33%), and acute conditions (5%).
- The model operated successfully even during territorial conflicts.
- Barriers included tool usability, data insecurity, and accessibility issues.
Conclusions:
- The teleconsultation model showed initial success in a vulnerable setting.
- The pilot provides valuable insights for a national teleconsultation policy.
- Further development is needed to address identified barriers.
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