Direct-to-Patient Teledermatology During COVID-19 Lockdown in a Health District in Madrid, Spain: The EVIDE-19 Pilot Study☆
| Autor: | Pedro Herranz, Luis Pérez-España, A Nuño, Rocío Gil, G Servera, Elena Sendagorta |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Telemedicine
medicine.medical_specialty Teledermatology Histology Coronavirus disease 2019 (COVID-19) Primary care Dermatology Asynchronous Pathology and Forensic Medicine 030207 dermatology & venereal diseases 03 medical and health sciences Virtual 0302 clinical medicine Store and forward medicine 030212 general & internal medicine Medical diagnosis Descriptive statistics business.industry Remote COVID-19 Telemedicina Asíncrona Confidence interval Family medicine Original Article Teledermatología Physician satisfaction business |
| Zdroj: | Actas Dermo-Sifiliograficas Actas Dermo-Sifiliográficas (English Edition) |
| ISSN: | 1578-2190 0001-7310 |
| Popis: | Background Dermatologic care was halted because of the coronavirus disease 2019 pandemic, prompting us to study the usefulness of direct-to-patient teledermatology via a mobile application. We aimed to evaluate the service as a tool for avoiding face-to-face consultations, describe the main conditions diagnosed, and assess levels of patient and physician satisfaction. Material and method Prospective descriptive study of new patients who met the inclusion criteria. Descriptive statistics for all variables were analyzed with SPSS. Results Of the 1,497 patients who agreed to participate in the study, 25% (n = 374) sent an image to a consultant dermatologist through the mobile application. Sixty-four patients (17%) were discharged directly and referred to primary care for follow-up. A face-to-face consultation was avoided for at least 3 months in 85% of patients (n = 318); 87.1% (n = 325) received a diagnosis and the dermatologist's level of confidence in this diagnosis was 7 or higher in 77.5% of cases (n = 290). The quality of the images sent was considered sufficient in 52.1% of cases. Patients rated their satisfaction with a score of 4.5 out of 5. Eleven of the 16 dermatologists rated their satisfaction as good overall. The most common conditions were inflammatory and melanocytic lesions. The main diagnoses were nevi, acne, and eczema. Discussion Direct-to-patient store-and-forward teledermatology is an effective means of evaluating new patients. Both clinicians and patients expressed high levels of satisfaction with the service. Systems enabling the addition of digital images to patient records are necessary to ensure the efficiency of teledermatology. |
| Databáze: | OpenAIRE |
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