Tele-educação como apoio à Educação Permanente em Saúde na Atenção Básica no estado da Bahia.

Abstract

A public health system capable of assisting a heterogeneous population, with a multiple burden of diseases, requires the creation of public policies under different aspects, some of them aimed at valuing, training and qualifying human resources in health, in favor of a health care model based on integrality and solvability. Innovative teaching strategies through ICTs such as Telehealth have been configured as an opportunity for assistance and educational support for health professionals within the SUS. Thus, this qualitative study analyzed the Tele-education of Telessaúde Bahia as a support to the Permanent Education in Health (EPS) of the health professionals of the Basic Attention of Bahia. The logical model of Tele-education was elaborated and later approved, which supported the formulation of questions and structured statements that composed the online form that was sent to the email of the key informants. A total of 238 responses were obtained, 193 from health professionals and 45 from municipal managers (primary care coordinators and municipal institutional supporters). Quantitative data were processed using the Microsoft Excel 2013 program, using the 5-point Likert Scale: totally agree, agree, indifferent, disagree, totally disagree and analyzed using the SPSS software (Statistical Package for Social Sciences). For the analysis of qualitative data, the content thematic judgment was used. The Logical Model of Tele-education pointed out the probable theory and practice of operation: the objectives, the interaction between the actors involved, the activities carried out and the expected effects in the short, medium and long term. Professionals and managers showed positive perceptions regarding the enhancement and qualification of learning through Health Information and Communication Technologies, in supporting clinical decision-making and diagnosis, and in providing up-to-date technical-scientific information based on difficulties experienced in the territories. Tele-education was considered a support for EPS, capable of contributing to the development of new care strategies, promoting a humanized view of the professional on the problems and needs of the population, improving the clinical capacity of the teams, resulting in probable benefits on the health conditions of the assisted population. However, it is necessary to improve procedural and structural elements, despite the weaknesses pointed out in the organization of the work process, little autonomy and low stimulus from municipal management, and in the absence of discussions and exchange of knowledge between the members of the teams themselves. It is also appropriate to encourage health managers within the three spheres, the Telehealth Management Committee and other health and educational institutions to take on the responsibilities assigned to them by PNAB, PNEPS and Telessaúde Brasil Redes e Bahia, in order to strengthen Tele-education and Permanent Health Education in the State.