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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Elsevier,
2021-09-01T00:00:00Z.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | doaj_637913613e4b4a8da1b4f96e31d585c9 | ||
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. |