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

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:...

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Main Authors: Ruben Barros-Tornay, MD (Author), Lara Ferrándiz, MD, PhD (Author), Francisco J. Martín-Gutiérrez, MD (Author), Almudena Fernández-Orland, MD (Author), Amalia Serrano-Gotarredona, MD (Author), José M. de la Torre, MD (Author), María D. Conejo-Mir, MD (Author), Teresa Ojeda-Vila, MD, PhD (Author), Juan Márquez-Enríquez, MD (Author), Carlos Hernández, MD (Author), María J. Ocaña, MD (Author), Juan M. Herrerías-Esteban, MD (Author), David Moreno-Ramírez, MD, PhD (Author)
Format: Book
Published: Elsevier, 2021-09-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Ruben Barros-Tornay, MD  |e author 
700 1 0 |a Lara Ferrándiz, MD, PhD  |e author 
700 1 0 |a Francisco J. Martín-Gutiérrez, MD  |e author 
700 1 0 |a Almudena Fernández-Orland, MD  |e author 
700 1 0 |a Amalia Serrano-Gotarredona, MD  |e author 
700 1 0 |a José M. de la Torre, MD  |e author 
700 1 0 |a María D. Conejo-Mir, MD  |e author 
700 1 0 |a Teresa Ojeda-Vila, MD, PhD  |e author 
700 1 0 |a Juan Márquez-Enríquez, MD  |e author 
700 1 0 |a Carlos Hernández, MD  |e author 
700 1 0 |a María J. Ocaña, MD  |e author 
700 1 0 |a Juan M. Herrerías-Esteban, MD  |e author 
700 1 0 |a David Moreno-Ramírez, MD, PhD  |e author 
245 0 0 |a Feasibility and cost of a telemedicine-based short-term plan for initial access in general dermatology in Andalusia, SpainCapsule Summary 
260 |b Elsevier,   |c 2021-09-01T00:00:00Z. 
500 |a 2666-3287 
500 |a 10.1016/j.jdin.2021.05.002 
520 |a 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. 
546 |a EN 
690 |a accessibility 
690 |a dermatology care 
690 |a health care services 
690 |a technology 
690 |a teledermatology 
690 |a telemedicine 
690 |a Dermatology 
690 |a RL1-803 
655 7 |a article  |2 local 
786 0 |n JAAD International, Vol 4, Iss , Pp 52-57 (2021) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2666328721000328 
787 0 |n https://doaj.org/toc/2666-3287 
856 4 1 |u https://doaj.org/article/637913613e4b4a8da1b4f96e31d585c9  |z Connect to this object online.