Implementation and Monitoring of the virtual ambulatory and medical teleconsultation model in Endocrinology during the crisis caused by the Covid-19 pandemic

Recently, an exceptional situation of restriction in elective outpatient consultations has been established, with the purpose of avoiding the exposure of patients with chronic diseases to the risk of contamination by SARSCov-19 in medical-hospital settings. In April 2020, Law 13,989 was enacted, which establishes the establishment of the use of telemedicine during the coronavirus pandemic, which allows the use of technology to perform medical care without the need for physical proximity to the patient. The systematization of the call center process and the construction of an environment to support diagnosis and therapy allow the integration of tele-assistance and tele-education aspects to be integrated. The incorporation of the use of telemedicine in clinical practice requires that strategies be developed to train physicians in the use of information technology and telemedicine. For the consolidation of telemedicine, the existence of multiprofessional technological centers is important. The HUB's Endocrinology Area is considered a Reference Center for the treatment of complex diseases at the tertiary and quaternary levels of health care, such as neuroendocrine tumors, metabolic diseases with systemic complications and carcinomas of endocrine glands. These patients need continuous contact with the medical team and social isolation measures make access to the hospital environment difficult for elective consultations.