Background: This review aimed to map initiatives for measuring the satisfaction of vulnerable populations with teleconsultation services offered by public and private health care providers in their territories, during the coronavirus disease (COVID-19) pandemic. Systematic studies on the opinions of people most affected by health inequities are limited. Therefore, we included evaluations of teleconsultation-based services offered to socioeconomically disadvantaged and clinically vulnerable populations globally, with a focus on surveillance, treatment, and prevention of COVID-19. Materials and Methods: This review includes analytical and descriptive observational studies primarily from MEDLINE, EMBASE, SCOPUS, and Web of Science databases, published after the World Health Organization received the first warnings about COVID-19 from Chinese authorities in December, 2019, until December 2020. The search strategy combined aspects of COVID-19, telemedicine, patient satisfaction, and key concepts of vulnerable populations. Results:We selected 33 studies for full-text reading and 10 for critical appraisal. Two categories emerged from the qualitative analysis: telehealth evaluation and services during COVID-19, and opinions of vulnerable populations. Television and social networks play a crucial role in providing information. Although teleconsultations are practical and cost effective for patients, the majority preferred receiving inperson treatment in primary care clinics. Conclusions: Listening to the opinions of vulnerable groups and their caregivers is critical both before and during adoption of COVID-19 control measures. Health managers need to monitor the health of and delivery of services to socioeconomically and clinically vulnerable people closely, to improve services, and provide care from a human rights perspective.

RESUMO Este estudo investiga o desempenho dos principais programas de investimento em saneamento no âmbito do Programa de Aceleração do Crescimento (PAC) para mostrar se a escassez de recursos é o que explica o fracasso dessa política no País, como sustentam as atuais propostas de reforma do setor em tramitação. A partir dos dados sistematizados no Siga-Brasil e da análise dos relatórios dos órgãos de controle, foi possível reconstituir a trajetória de execução orçamentária dos programas e identificar as principais dificuldades enfrentadas para a sua operacionalização. À luz da literatura disponível, percebe-se que a estratégia federal centrada no incentivo financeiro reduziu o protagonismo da União ao repasse de verbas, quando era necessária uma atuação mais incisiva quanto aos problemas estruturais apresentados por municípios e estados brasileiros. Nesse sentido, o baixo gasto orçamentário estaria menos ligado à disponibilidade dos recursos que aos obstáculos institucionais encontrados em nível local, onde a política de saneamento é primariamente executada. Por fim, alerta-se para a necessidade de pensar arranjos de colaboração federativa mais eficazes em reduzir os custos transacionais de implementação dessa política, especialmente agora em que os cortes de orçamento ameaçam o fluxo de investimentos no setor.

Objective: This scoping review aims to map initiatives of measuring the vulnerable populations' satisfaction with teleconsultation and remote consultation services offered by public and private healthcare providers in their respective territories during the COVID-19 pandemic.Introduction: New teleconsultation-based services were implemented during the pandemic with their monitoring and evaluation processes. It is necessary to know these assessments if services worsen the disparities between vulnerable and economically disadvantaged populations. Understanding whether the services meet the population's expectations concerning the care to contain the pandemic in their territory can support inclusive policies.Inclusion criteria: This review will include studies on evaluations of teleconsultation-based services offered to the socioeconomically disadvantaged population of a given territory focused on the surveillance, treatment, and prevention of COVID-19. The assessments should describe the process of determining the satisfaction of the population served.Methods: A comprehensive search will be performed in MEDLINE, EMBASE, Web of Science databases, and other documents in Scopus to identify gray literature. Documents published in English, Portuguese and Spanish will be included from December 2019. The strategy combines descriptors and keywords related to telehealth, Covid-19, patient satisfaction, and vulnerable populations. According to the inclusion criteria, two reviewers will screen titles and abstracts and select the articles for evaluation. The articles selected for full-text screening will be submitted to data extraction, using a tool developed by the third reviewer and approved by the other authors. The data will be presented in semantic networks and narrative summary, aligning with the reviews' objectives and scope.