Percepção de cuidadores sobre a viabilidade da telemedicina na assistência a pessoas idosas com necessidades complexas de cuidado
DOI:
https://doi.org/10.47456/rbps.v27isupl_4.54467Keywords:
Telemedicine, Aged, Caregivers, Palliative CareAbstract
Introduction: Telemedicine may support the care of older adults but requires technological resources and support during consultations. Objective: To analyze caregivers’ perceptions of the feasibility of telemedicine for outpatient follow-up of older adults with complex care needs. Methods: A descriptive qualitative study conducted during the COVID-19 pandemic at the Geriatrics and Gerontology service of Hospital Universitário Cassiano Antônio Moraes, Espírito Santo, Brazil. Sixteen caregivers selected through convenience sampling had participated in at least one teleconsultation involving older adults previously receiving in-person care. Videoconference interviews were recorded, transcribed, and subjected to thematic analysis. Results: Older adults had high frequencies of frailty, functional dependence, dementia, and polypharmacy. Caregivers valued convenience, reduced travel, and reduced exposure to hospital settings, recognizing their support as a facilitator of consultations. Despite favorable perceptions of information security, concerns about digital vulnerabilities remained. Participants preferred a hybrid model that preserved direct contact and in-person physical assessment. Conclusion: From caregivers’ perspectives, telemedicine is feasible as a complement to in-person follow-up, considering caregiver support, technological accessibility, and individual needs while preserving the therapeutic relationship.
Downloads
References
World Health Organization. WHO guideline: recommendations on digital interventions for health system strengthening [Internet]. Geneva: World Health Organization; 2019 [citado 6 out. 2026]. Disponível em: https://www.who.int/publications/i/item/9789241550505.
Gonçalves RF, Giovanini AF, Nascimento GB, Isolan GR, Sigwalt MF, Malafaia MT, et al. A telemedicina pode ser tão confiável quanto a medicina convencional quando usada no Sistema Único de Saúde – SUS? SciELO Preprints [Preprint]. 2023 [citado 6 out. 2026]. doi:10.1590/SciELOPreprints.7703.
Bujnowska-Fedak MM, Grata-Borkowska U. Use of telemedicine-based care for the aging and elderly: promises and pitfalls. Smart Homecare Technol Telehealth. 2015;3:91-105. doi:10.2147/SHTT.S59498.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. doi:10.1191/1478088706qp063oa.
Cunha AS, Pedro AR, Cordeiro JV. Facilitators of and barriers to accessing hospital medical specialty telemedicine consultations during the COVID-19 pandemic: systematic review. J Med Internet Res. 2023;25:e44188. doi:10.2196/44188.
Freire MP, Silva LG, Meira ALP, Louvison MCP. Telemedicine in healthcare access during the covid-19 pandemic: a scoping review. Rev Saude Publica. 2023;57(Suppl 1):4s. doi:10.11606/s1518-8787.2023057004748.
Steindal SA, Nes AAG, Godskesen TE, Dihle A, Lind S, Winger A, et al. Patients’ experiences of telehealth in palliative home care: scoping review. J Med Internet Res. 2020;22(5):e16218. doi:10.2196/16218.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
The Revista Brasileira de Pesquisa em Saúde (RBPS) adopts the CC BY 4.0 license, which means that authors retain the copyright of the works they submit to the journal. Authors are responsible for declaring that their contribution is an original manuscript, that it has not been previously published, and that it is not under simultaneous review by another scientific journal. Upon submitting the manuscript, authors grant RBPS the exclusive right of first publication, subject to peer review.
Authors are permitted to enter into additional contracts for the non-exclusive distribution of the version published by RBPS (for example, in institutional repositories or as a book chapter), provided that due acknowledgment of authorship and of initial publication by RBPS is given. Authors are also encouraged to make their work available online (for example, in institutional repositories or on their personal pages) after its initial publication in the journal, with due acknowledgment of authorship and of the original publication by RBPS.
Accordingly, under the CC BY 4.0 license, readers have the right to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially;
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
The licensor cannot revoke these freedoms as long as you follow the license terms. Under the following terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.