COMPARATIVE EFFICIENCY OF TELEMEDICINE MODELS: AN ANALYSIS OF THE HYBRID MODEL VERSUS THE FULLY REMOTE MODEL IN THE CONTEXT OF PUBLIC HEALTH
DOI:
https://doi.org/10.47820/recima21.v6i7.6582Keywords:
Access to healthcare. Social inequality. Patient engagement. Humanization. Public health. Telemedicine.Abstract
This study compared the efficiency of two telemedicine models — the fully remote and the hybrid — in two municipalities in the state of São Paulo. The objective was to assess which model offers greater efficiency in terms of appointment utilization, patient engagement, and reduction of no-shows and losses. Monthly data on available appointments, scheduling, consultations completed, absences, and primary loss were analyzed, collected between February and October 2024. The results showed that the hybrid model was significantly more efficient, with an average utilization rate of 74.5% (compared to 6.5% for the fully remote model), an average primary loss of 12.4% (versus 93.8%), and an average no-show rate of 18.5% (versus 35.2%). Beyond operational efficiency, the findings highlight the importance of in-person support, provided in the hybrid model, for humanizing care. It is concluded that the hybrid model is a more viable and inclusive strategy for telemedicine, especially in contexts marked by social and technological inequalities, aligning with the principles of universal access to healthcare promoted by the Brazilian Unified Health System (SUS). The expansion of this model to other regions of the country is recommended, with a focus on vulnerable populations and hard-to-reach areas.
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