The Ministry of Health has studied the application of new technologies in the Unified Health System (SUS), with the aim of expanding the population’s access to increasingly comprehensive, flexible and quality public health services. One idea is, for example, to integrate artificial intelligence (AI) into customer service services. All of this will be done through a program still under study, SUS Digital.
“We are talking about a new scenario here. The Ministry of Health, within a large team, is designing Digital SUS, which is digital integration at all levels of the unified health system (SUS) from primary care [em Unidades Básicas de Saúde, por exemplo] for third care [de alta complexidade, como Unidades de Terapia Intensiva]”, said Cleanaldo de Almeida Costa, Director of Digital Health and Innovation at the Ministry of Health, in an interview with Agência Brasil and TV Brasil on Tuesday (23).
According to him, the program should “rethink access to SUS through apps, the use of AI or big data” and “redesign health”. [no país] over the next twenty years.”
During a table held this afternoon (23) during the Hospitalar Fair, in São Paulo, the Director of the Ministry said that the program aims to transform the SUS into a “more friendly system, bringing it closer to the citizen and simplifying the life of the user and user”.
The Ministry’s goal is that with SUS Digital, diagnoses can be improved, public health care is more flexible, and there is more inclusion. “in the first place, [o benefício] It will be digital inclusion in SUS. Really include, leave no one behind. Secondly, to improve the quality of life of Brazilian citizens through SUS, so that health can be integrated into their daily lives, on their mobile phones, on their tablets, and reduce queues, that is, bring the health system into the life of the citizen,” Costa said.
projects
Some projects in Brazil were already studying the application of digital health in intensive care units (ICU), trials that began during the novel coronavirus pandemic. And with good results, highlighted Carlos Carvalho, Professor of Pulmonology at the University of São Paulo School of Medicine (USP) and Director of Digital Health at Hospital das Clínicas de São Paulo.
“We have a project with the Ministry of Health to help high-risk pregnant women and postpartum women in intensive care settings. The Ministry selected some hospitals. In the 11 hospitals where we already work, we’ve seen a decrease of 270 [por 100 mil nascidos vivos] to 140 maternal deaths in just six months.” This pilot project should be expanded, Carvalho reported, so that every Brazilian state has at least one in development.
Another project is TeleUTI for covid-19, which has been operated through a telemedicine center installed at the Instituto do Coração (Incor) and which has supported, coached and trained health professionals working in intensive care units. “In the TeleUTI that we have done here, together with the Ministry of Health of the State of São Paulo, until December 2021 we have served nearly 2,000 patients and given more than 11,000 consultations. With the increase in the number of visits, he said during the Hospitalar Fair. The lethality of these patients was reduced in the units we were attending to.”
delay
In the report, Carvalho mentioned that during the pandemic, Brazilian technological lag in the field of digital health was evident. States and the federal government were able to quickly increase the number of beds and equipment [para o tratamento da covid-19]. But what governments have generally done is build roads and put cars in. The problem, however, were the pilots. Who will drive these cars? What was clear was that they did not have trained professionals to operate these ICUs [que foram criadas durante a pandemia]”, He said.
Thanks to new technologies, it was possible to fill this shortage of professionals and help save more lives. As Carvalho emphasized, “Telehealth comes to train these people and to carry out teleconsultations and consultations. The initial studies we conducted were able to demonstrate a decrease in mortality [dos pacientes]As long as you have a minimum qualified team at one end and a minimally qualified team at the other,” he said.
challenges
The director of the ministry said that for SUS Digital to be fully implemented in the country, Brazil would need to improve its network infrastructure. “What we need to do is work hard on connectivity in our country. There is still a lot of asymmetry in connectivity and this is an effort that this government is proposing to do,” he said.
Another challenge is ensuring data security for users who use this system. “We are working within the unified health system on a new reality called GDPR. Within this moral scenario, the health system has worked to enhance the digital user experience and bring health closer to the daily lives of Brazilian citizens,” said Cinaldo.
These are not the only challenges that will involve the use of these technologies in the health field. Last week, for example, the World Health Organization (WHO) issued a statement saying it was excited about the topic, but called for caution in the use of AI to “protect and promote well-being, security and autonomy”. Human rights and the preservation of public health. ” For the institution, it is necessary to carefully assess the risks of this type of tool in the health field.
“Rapid adoption of untested systems can lead to errors by healthcare professionals, cause harm to patients, undermine confidence in AI, and thus undermine (or delay) the potential benefits and long-term uses of these technologies worldwide,” he said in the statement. .
exhibition
The Hospitalar Fair, which started on Tuesday and will continue until next Friday (26) at the São Paulo Fair, in the city of São Paulo, is the largest health event in Latin America and one of the three largest in the region in the world. This year, the exhibition will discuss the power of platforms and their impact on the healthcare sector.
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