Coordinación entre atención primaria y un servicio de geriatría, 20 años después

Prieto, B.; Usaola, F. Sanchez Del Corral; Maroto, Pilar Avilés; Gómez, Paz Rodríguez; Pavón, Javier Gómez; Cortés, Juan José Baztán

doi:10.1016/j.aprim.2022.102358

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…Since the end of the COVID-19 pandemic, we could explain this fact by the objective of doctors to leave the use of face-to-face dermatology appointments for more severe, surgical or complex diseases [ 24 ]. On the other hand, elderly patients seen in primary care are increasingly older, polypharmacological and with comorbidities, but they also present greater functional and mental impairment [ 25 ]. Despite this, more than 90% of their health problems are resolved in the community environment [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Virtual Consultation in Dermatology: Access Inequalities According to Socioeconomic Characteristics and the Place of Residence

Marco-Ibáñez,

Aibar-Remón,

Gamba-Cabezas

et al. 2024

Healthcare

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Virtual consultation has been implemented as a tool to improve the cooperation and coordination between primary care and other specialties. However, in its use in dermatology, inequities have been described. The aim of this study was to identify individual and geographical factors affecting the likelihood of accessing this resource. We conducted a cross-sectional study. The study population was individuals living in Aragón, a region in the north-east of Spain, who were users of the Aragon Health Service in 2021. To explore the differences in individual and area characteristics, between patients with virtual and non-virtual dermatology consultation, we performed bivariate analyses. To analyse the use of virtual consultation in dermatology, a multilevel methodology stratified by sex was developed. We analysed 39,174 dermatology visits, with 16,910 being virtual (43.17%). The rates of virtual consultation were higher in urban areas and the most affluent areas, for older persons, chronic complex patients and people with more advantageous socioeconomic positions. The best multilevel model conducted showed inequalities by socioeconomic position and area of residence. There are individual and area inequalities in the use of teledermatology. As this tool should improve equity of access, teledermatology interventions must address and adapt to the needs of the local patient population.

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Section: Discussionmentioning

confidence: 99%

Virtual Consultation in Dermatology: Access Inequalities According to Socioeconomic Characteristics and the Place of Residence

Marco-Ibáñez,

Aibar-Remón,

Gamba-Cabezas

et al. 2024

Healthcare

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show abstract

“…Aunque los pacientes ancianos, son los que utilizan de forma más apropiada el SUH 20 , 21 , es en estos en los que la valoración previa tiene mayor impacto 22 , 23 , siendo fundamental la información del médico de familia. El conocimiento del paciente por su médico de familia, su grado de fragilidad y su situación cognitivo-emocional y sociocultural, deben ser determinantes en la toma de decisiones complejas.…”

Section: Discussionunclassified

Importancia de la consulta ambulatoria previa a la visita a las urgencias hospitalarias en pacientes mayores: impacto sobre resultados de hospitalización

et al. 2023

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Evaluación de la interconsulta virtual por los profesionales de atención primaria: dimensiones de la calidad y oportunidades de mejora

Marco Ibáñez,

Aguilar Palacio,

Aibar Remón

2024

Atención Primaria

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Coordinación entre atención primaria y un servicio de geriatría, 20 años después

Cited by 4 publications

References 13 publications

Virtual Consultation in Dermatology: Access Inequalities According to Socioeconomic Characteristics and the Place of Residence

Virtual Consultation in Dermatology: Access Inequalities According to Socioeconomic Characteristics and the Place of Residence

Importancia de la consulta ambulatoria previa a la visita a las urgencias hospitalarias en pacientes mayores: impacto sobre resultados de hospitalización

Evaluación de la interconsulta virtual por los profesionales de atención primaria: dimensiones de la calidad y oportunidades de mejora

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