Cost-minimization analysis of teledermatology versus conventional care in the Brazilian National Health System

Acúrcio, Francisco de Assis; Guerra, Augusto Afonso; Calvo, Maria Cristina Marino; Nunes, Daniel Holthausen; Akerman, Marco; Spinel, Ligia Fonseca; Garcia, Marina Morgado; Pereira, Ramon Gonçalves; Borysow, Igor da Costa; Silva, Rogério Renato; Azevedo, Pâmela Santos; Gomes, Patrícia Caroline Iacabo Correia; Álvares-Teodoro, Juliana

doi:10.2217/cer-2021-0124

Cited by 2 publications

(2 citation statements)

References 33 publications

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“…Patients will not need to travel to the hospital and wait for their clinical appointment. Assis Acurcio et al ( 7 ) demonstrated that teledermatology service has proven to be a cost-effective alternative to conventional dermatology, by reducing the costs associated with commuting. This may be an attractive alternative as the teledermatology solution can be used at a time convenient for the patient.…”

Section: Discussionmentioning

confidence: 99%

Value of DermaCheckup as a novel dedicated digital health solution for teledermatology

Ilie

Stefanescu

Aldridge³

et al. 2022

Med Int

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Daily healthcare is becoming increasingly costly and resource-intensive, requiring vast human and financial resources. the primary aim of the present study was to present the initial findings regarding the diagnostic accuracy of a novel telemedicine platform, DermaCheckup, when compared with face-to-face clinical appointments. the secondary aim was to assess whether patient management plans produced via this telemedicine platform differ from those decided upon following a face-to-face dermatological consultation. the difference in time to diagnosis between the tele-dermatology platform and standard care was also assessed. the DermaCheckup teledermatology service was implemented in March, 2020 as the CoVID-19 pandemic emerged in the UK. the present study assessed patients who underwent a face-to-face clinical consultation, who, prior to visiting the clinic, used the teledermatology platform; thus, the diagnosis made via teledermatology was able to be compared to that made following standard care. Comparisons were made between diagnosis, process of diagnosis and the time to diagnosis. a total of 29 consecutive patients entering one UK dermatology clinic were included in the study. the CoVID-19 pandemic resulted in face-to-face visits being challenging, owing to the risk of transmission of SarS-CoV-2. this limited the number of patients recruited into the study. the DermaCheckup application exhibited a very good level of agreement in terms of diagnosis with traditional face-to-face appointments. In the present study cohort, 93% of the patients could have been managed safely or referred immediately for a biopsy, thus avoiding a visit to the hospital. a substantial important improvement was also observed in the efficiencies that can be potentially achieved; the time to manage a patient decreased between 46-22-fold without considering the waiting time required between the time of organizing an appointment to the actual appointment.

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Section: Discussionmentioning

confidence: 99%

Value of DermaCheckup as a novel dedicated digital health solution for teledermatology

Ilie

Stefanescu

Aldridge³

et al. 2022

Med Int

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“…Similar values were found in rural Spain, where a TD program saved patients and providers 1496 working hours, 786 travel hours, 8280 dollars, and 51.3 km in distance traveled [ 35 ]. In addition, large-scale, cost-effectiveness analyses have pointed to the extensive societal savings TD can bring to areas with limited dermatologic care [ 36 , 37 ]. In French Guiana, a TD service for remote areas allowed 92% of patients who required teleconsult to be managed in local clinics [ 38 ].…”

Section: Effectiveness and Benefits: Teledermatology For Global Under...mentioning

confidence: 99%

Teledermatology in Rural, Underserved, and Isolated Environments: A Review

2022

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Purpose of Review Summarize the current evidence for teledermatology in rural, underserved, and isolated environments including its use during the current COVID-19 pandemic. Recent Findings Teledermatology is a reliable and cost-effective tool that can reduce face-to-face visits and improve the timeliness of care for medically underserved populations. Recent studies have shown many additional benefits of teledermatology, including improving patients’ health outcomes and increasing local providers’ knowledge of dermatologic conditions. Despite these benefits, many low-income and rural populations lack access to digital technology and high-speed internet, limiting the reach of telemedical services. Summary Overall, barriers in access to care are unique across the globe, and thus teledermatology interventions should address and adapt to the needs of the local patient population. Certain strategies, such as implementing simple, SF models, using standardized TD consult templets, and providing real-time information technology support could potentially mitigate disparities and improve the effectiveness of TD programs in underserved areas.

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Cost-minimization analysis of teledermatology versus conventional care in the Brazilian National Health System

Cited by 2 publications

References 33 publications

Value of DermaCheckup as a novel dedicated digital health solution for teledermatology

Value of DermaCheckup as a novel dedicated digital health solution for teledermatology

Teledermatology in Rural, Underserved, and Isolated Environments: A Review

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