| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 449.77 KB | Adobe PDF |
Abstract(s)
A ecografia é um exame imagiológico que surgiu nos finais do século XX e é
usado em várias especialidades como Gold Standard para muitos diagnósticos. Para
além disso, foi dos aparelhos que mais sofreu melhorias tecnológicas, particularmente
na sua capacidade imagiológica. É um exame rápido e portátil, que fornece muitas
informações sendo por isso considerado por muitas comunidades médicas que o
ecógrafo pode vir a ser o estetoscópio do futuro. A ecografia Point-Of-Care (POCUS)
surge então com um exame de execução rápida, capaz de fornecer uma grande
quantidade de dados em tempo real de forma a acelerar decisões de diagnóstico, guiar
procedimentos e melhorar o processo de referenciação. Uma das áreas que tem vindo a
mostrar um crescimento significativo é a emergência médica, visto que permite avaliar
o paciente crítico de forma mais completa e verificar possíveis critérios de urgência.
Posto isto, surgem algumas perguntas pertinentes: Será possível usar este aparelho
para mudar a abordagem aos pacientes nos Cuidados De Saúde primários(CSP)? Quais
as técnicas que são mais uteis? Haverá outros países que já exploram esta vertente?
Um estudo de estado de arte revela que existe uma quantidade vasta de artigos
sobre o tema, onde sublinha especificamente o papel crescente da utilização da POCUS
neste contexto.
O objetivo desta dissertação é procurar caracterizar os a aplicabilidade da
POCUS em CSP e perceber em que cenários pode ser útil. Grande parte dos artigos
utilizados e referenciados foram realizados em países com um sistema de Cuidados de
Saúde Primários muito semelhante ao de Portugal. Por este motivo, esta dissertação
pretende também explorar os possíveis benefícios da implementação deste recurso no
país, de modo a despertar interesse para futuros estudos na área.
Pela análise realizada é possível perceber que a ecografia POCUS já é
implementada em serviços de CSP em vários países, ao ser incluída nos programas de
internato médico. Com a formação e experiência adequadas, a POCUS pode ajudar a
melhorar a qualidade de diagnóstico, e aumentar a taxa de satisfação do paciente
servindo como guia no processo de referenciação.
Podemos concluir que a POCUS é uma mais-valia para os CSP nas suas várias
vertentes de atuação. Porém, ainda existe um largo caminho a percorrer, pelo que é
necessário que se realizem mais estudos, de modo a construir um currículo de competências e habilidades claras, desenhadas especificamente para a prática de
medicina geral e familiar.
Ultrasound is an imaging examination that emerged in the late 20th century and is used in various specialties as the gold standard for many diagnoses. In addition, it has undergone significant technological improvements, particularly in its imaging capacity. It is a quick and portable exam that provides a wealth of information, which is why many medical communities consider ultrasound to be the stethoscope of the future. Point-of-Care Ultrasound (POCUS) emerges as a fast-execution exam capable of providing a large amount of real-time data to expedite diagnostic decisions, guide procedures, and improve the referral process. One area that has shown significant growth is emergency medicine, as it allows for a more comprehensive assessment of critical patients and the evaluation of potential urgency criteria. Given this, some pertinent questions arise: Is it possible to use this device to change the approach to patients in primary healthcare? What are the most useful techniques? Are there other countries already exploring this field? A state-of-the-art study reveals that there is a vast amount of articles on the topic, specifically highlighting the growing role of POCUS in this context. The objective of this dissertation is to characterize the applicability of POCUS in primary healthcare and understand in which scenarios it can be useful. Many of the articles used and referenced were conducted in countries with a primary healthcare system similar to Portugal's. Therefore, this dissertation also aims to explore the potential benefits of implementing this resource in the country in order to generate interest for future studies in the field. The analysis conducted indicates that POCUS is already being implemented in primary healthcare services in several countries, being included in medical internship programs. With proper training and experience, POCUS can help improve diagnostic quality and increase patient satisfaction rates by serving as a guide in the referral process. In conclusion, POCUS is an asset in primary healthcare in its various areas of operation. However, further studies need to be conducted in order to establish a curriculum of clear competencies and skills tailored to Familiar Medicine.
Ultrasound is an imaging examination that emerged in the late 20th century and is used in various specialties as the gold standard for many diagnoses. In addition, it has undergone significant technological improvements, particularly in its imaging capacity. It is a quick and portable exam that provides a wealth of information, which is why many medical communities consider ultrasound to be the stethoscope of the future. Point-of-Care Ultrasound (POCUS) emerges as a fast-execution exam capable of providing a large amount of real-time data to expedite diagnostic decisions, guide procedures, and improve the referral process. One area that has shown significant growth is emergency medicine, as it allows for a more comprehensive assessment of critical patients and the evaluation of potential urgency criteria. Given this, some pertinent questions arise: Is it possible to use this device to change the approach to patients in primary healthcare? What are the most useful techniques? Are there other countries already exploring this field? A state-of-the-art study reveals that there is a vast amount of articles on the topic, specifically highlighting the growing role of POCUS in this context. The objective of this dissertation is to characterize the applicability of POCUS in primary healthcare and understand in which scenarios it can be useful. Many of the articles used and referenced were conducted in countries with a primary healthcare system similar to Portugal's. Therefore, this dissertation also aims to explore the potential benefits of implementing this resource in the country in order to generate interest for future studies in the field. The analysis conducted indicates that POCUS is already being implemented in primary healthcare services in several countries, being included in medical internship programs. With proper training and experience, POCUS can help improve diagnostic quality and increase patient satisfaction rates by serving as a guide in the referral process. In conclusion, POCUS is an asset in primary healthcare in its various areas of operation. However, further studies need to be conducted in order to establish a curriculum of clear competencies and skills tailored to Familiar Medicine.
Description
Keywords
Familiarmedicine Generalmedicine Pocus Primarycare Ultrasound