Políticas públicas de telessaúde em Santa Catarina: avaliação econômica de ações selecionadas

This article presents a detailed analysis of the implementation and impacts of telehealth policies in Santa Catarina, focusing on the state’s Integrated Telemedicine and Telehealth System (STT). Introduced in 2005, telehealth has evolved significantly over the years, establishing itself as an essential tool to reduce patient travel, save public resources, and expand access to healthcare in remote areas. The study highlights that up to 60% of consultations carried out via telehealth avoid unnecessary patient travel, resulting in annual savings of more than BRL 70 million for municipalities, in addition to reducing 14 million kilometers traveled by ambulances. The cost of implementing the equipment is considered low compared to the benefits generated, with an Internal Rate of Return (IRR) exceeding 14,000%. Beyond the economic impact, telehealth has proven effective in reducing waiting lists for exams and diagnoses. For instance, tele-spirometry virtually eliminated waiting lists in two years, while teledermatology reduced waiting times by 80%. Econometric analysis reinforces that telehealth is a robust solution for improving efficiency and equity in the healthcare system. The article concludes that, although expanding telehealth in Santa Catarina is challenging, it presents promising results and stands out as a viable strategy to meet the healthcare demands of vulnerable populations and reduce regional inequalities.