Feasibility and cost of a telemedicine-based short-term plan for initial access in general dermatology in Andalusia, Spain.

Autor:	Barros-Tornay R; Teledermatology Group, Department of Medical-&-Surgical Dermatology, Hospital Universitario Virgen Macarena, Sevilla, Spain., Ferrándiz L; Teledermatology Group, Department of Medical-&-Surgical Dermatology, Hospital Universitario Virgen Macarena, Sevilla, Spain., Martín-Gutiérrez FJ; Teledermatology Group, Department of Medical-&-Surgical Dermatology, Hospital Universitario Virgen Macarena, Sevilla, Spain., Fernández-Orland A; Teledermatology Group, Department of Medical-&-Surgical Dermatology, Hospital Universitario Virgen Macarena, Sevilla, Spain., Serrano-Gotarredona A; Teledermatology Group, Department of Medical-&-Surgical Dermatology, Hospital Universitario Virgen Macarena, Sevilla, Spain., de la Torre JM; Teledermatology Group, Department of Medical-&-Surgical Dermatology, Hospital Universitario Virgen Macarena, Sevilla, Spain., Conejo-Mir MD; Teledermatology Group, Department of Medical-&-Surgical Dermatology, Hospital Universitario Virgen Macarena, Sevilla, Spain., Ojeda-Vila T; Teledermatology Group, Department of Medical-&-Surgical Dermatology, Hospital Universitario Virgen Macarena, Sevilla, Spain., Márquez-Enríquez J; Dermatology Unit, Hospital Universitario de Jerez de la Frontera, Cádiz, Spain., Hernández C; Dermatology Unit, Hospital de Poniente, El Ejido, Spain., Ocaña MJ; Dermatology Unit, Hospital San Agustín, Linares, Spain., Herrerías-Esteban JM; Communication and Technology Service, Andalusia Health Council, Sevilla, Spain., Moreno-Ramírez D; Teledermatology Group, Department of Medical-&-Surgical Dermatology, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Jazyk:	angličtina
Zdroj:	JAAD international [JAAD Int] 2021 Jul 08; Vol. 4, pp. 52-57. Date of Electronic Publication: 2021 Jul 08 (Print Publication: 2021).
DOI:	10.1016/j.jdin.2021.05.002
Abstrakt:	Background: In developed countries, health care delivery in dermatology is hampered by the low availability of dermatologists. Objective: To analyze the feasibility of a teledermatology-based action plan to provide initial dermatologic care in areas with low availability of dermatologists. Methods: A cross-sectional study describing the feasibility and cost of a 12-month action plan based on a store-and-forward teledermatology (TD) connecting primary care centers and a TD center. Teleconsultations from patients complaining of any cutaneous condition were included. The primary outcome measure was the percentage of patients not referred to the local dermatologist. Results: Among the total of 15,523 teleconsultations attended in the TD-based action plan, 3360 (21.65%) required a face-to-face visit with a local dermatologist. In 32.32% (n = 5017) of the cases, a therapeutic and follow-up plan report was issued. The most common conditions managed were melanocytic nevi (15.63%, n = 2426), followed by seborrheic keratosis (14.89%, n = 2312), and actinic keratosis (8.65%, n = 1342). The average response time was 14.52 days (95% CI 14.35-15.23). The additional total investment in this action plan was $142,681.01, with a unit cost of 9.20$/patient. Limitations: Noncontrolled study. Conclusions: Experienced dermatologists working with store-and-forward TD can deliver a fast and effective response in health care areas with access limitations. Competing Interests: None disclosed. (© 2021 by the American Academy of Dermatology, Inc. Published by Elsevier Inc.)
Databáze:	MEDLINE
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