Critérios de qualidade nas consultas pré-viagem: um consenso Delphi
Resumo
Com o crescimento exponencial de viagens ao nível global durante as últimas décadas, a saúde do viajante tornou-se uma questão premente. O turismo internacional, as deslocações profissionais e os fluxos migratórios contribuíram para este fenómeno, que centrou as atenções de organizações internacionais e autoridades nacionais nos riscos associados à propagação de doenças infeciosas. As preocupações crescentes acerca da transmissão de doenças emergentes e reemergentes, conferiu uma visibilidade global à medicina do viajante e impõem a definição de padrões de qualidade na atenção à saúde deste grupo de indivíduos O presente estudo visou obter um consenso alargado sobre os critérios de avaliação de qualidade para o aconselhamento de pré-viagem entre médicos em Portugal e Brasil baseado no método Delphi, utilizando critérios internacionais e estudos científicos como referência. Integrando os critérios consensuais obtidos no estudo, o nosso modelo identifica diferenças nos critérios de qualidade entre os dois grupos de peritos. Contudo, estes destacaram a importância dada a recursos humanos qualificados, a qualidade de informação para viajantes e profissionais de saúde, procedimentos estandardizados e ao diagnóstico em tempo útil. Os casos de Portugal e Brasil demonstram a importância de realizar mais estudos sobre a qualidade de consultas pré- e pós-viagem ao nível nacional e transnacional.
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