01967nas a2200277   4500000000100000008004100001260003300042653001500075653002400090653001500114653002400129100001500153700001400168700001500182700001500197700002100212700001400233700001600247700001700263245013200280856006100412300001000473490000700483520117400490022002501664       2026                            d  c06/2026bFapUNIFESP (SciELO)10aDisability10aPrimary Health Care10aTelehealth10aRemote Consultation1 aNeves ACFB1 aMatos SOV1 aPereira VF1 aSalgado MM1 aAzevedo Neto CAA1 aLopes JMS1 aMoreira GDS1 aSantos DDNVD00aTeleinterconsultation as a strategy to support surveillance of physical disability in leprosy in the state of Maranhão, Brazil  uhttps://www.scielosp.org/pdf/csc/2026.v31n5/e24122025/en  a1 - 80 v313 a<p>This study aimed to analyze the implementation of teleinterconsultation as a support strategy for the evaluation of Grade 2 Physical Disability (G2D) in individuals diagnosed with leprosy in the state of Maranhão, Brazil. This was a cross-sectional analytical study conducted between March 2023 and March 2025, coordinated by the Maranhão State Health Department (SES-MA) in partnership with the Telehealth Center of the Federal University of Maranhão (NTS-UFMA). All new leprosy cases with G2D recorded at the time of diagnosis were included. A total of 77 evaluations were analyzed, with 47 performed in person and 30 via teleinterconsultation. The remote assessments expanded coverage in the southern and eastern health macroregions of the state. There was no significant difference in the time between diagnosis and evaluation across groups. An estimated cost saving of up to R$ 338.39 per teleinterconsultation was observed. The adoption of this strategy proved to be feasible and cost-effective, with the potential to strengthen G2D surveillance in leprosy, particularly in settings with geographic barriers and limited access to specialized services.</p>
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