Percepção de cuidadores sobre a viabilidade da telemedicina na assistência a pessoas idosas com necessidades complexas de cuidado

Authors

DOI:

https://doi.org/10.47456/rbps.v27isupl_4.54467

Keywords:

Telemedicine, Aged, Caregivers, Palliative Care

Abstract

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.

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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.

Published

2025-12-30

Issue

Section

Extended abstracts

How to Cite

1.
Percepção de cuidadores sobre a viabilidade da telemedicina na assistência a pessoas idosas com necessidades complexas de cuidado. RBPS [Internet]. 2025 Dec. 30 [cited 2026 Oct. 21];27(supl_4):e54467. Available from: https://periodicos.ufes.br/rbps/article/view/54467