Keywords
Oil and gas fields
Occupational health
Occupational health services
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Abstract
Objective: To analyze factors associated with the medical disembarkation of workers on offshore oil platforms after consultations mediated by telemedicine. Methods: This is a cross-sectional study, with data from medical consultations of workers on board three oil units in the state of Rio de Janeiro, between 2013 and 2018. Among the 902 consultations mediated by telemedicine, only 9.1% resulted in disembarkation. Results: The sociodemographic profile of the population served was predominantly male, of Brazilian nationality, with an average age of 38.6 years, and linked to outsourced companies. It was observed that foreign nationality had a lower chance of disembarkation compared to Brazilian nationality (OR=0.05; CI: 0.02-0.11), work-related cases had a higher chance of disembarkation compared to non-work-related cases (OR=4.07; CI: 1.75-9.48), and the years 2014 (OR=3.56; CI 1.24; 10.21) and 2018 (OR=3.41; CI: 1.25-9.35) had higher chances of disembarkation compared to 2013. Conclusion: The results support the hypothesis that teleconsultation contributes significantly to the effectiveness of care in remote environments, especially for workers with work-related illnesses and in certain nosological categories (mental, ophthalmological, cardiovascular, genitourinary, and traumatic disorders).
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