Teledermatología en Chile: experiencia de su implementación temprana

Aragón‐Caqueo, Diego; Arceu, Montserrat; Aragón, Gonzalo Ortega; Zamora, Kathalina; Tom, Denis; Gatica, José Luis

doi:10.1016/j.piel.2020.12.009

Cited by 6 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Analogous to Chile experience during 2020, where restrictive measures affected the number of consultations uploaded to the TD system [23][24][25][26], Turkey preference for TD might be reflective of not just its efficacy but also a situational adaptation to the pandemic's challenges. The pandemic, in both settings, would have likely influenced patient mobility and their inclination towards in-person consultations [27][28][29].…”

Section: Resultsmentioning

confidence: 99%

Assessing Public Awareness and Perception of Teledermatology Via Survey

Altunisik,

Gençoğlu,

Türkmen

et al. 2024

Dermatol Pract Concept

View full text Add to dashboard Cite

Introduction: Teledermatology represents an alternative medical approach allowing for the remote assessment of a patient's clinical information without the need for face-to-face consultations. Objective: This study aims to gauge the public's awareness and perception of teledermatology. Methods: This research employed a cross-sectional observational design. Data collection was executed using an online survey. Sociodemographic attributes of all participants, such as age, gender, and occupation, were recorded. The survey, designed using Google Forms, comprised two sections: demographic information (5 questions) and queries related to teledermatology (10 questions). Questions and options in the survey were reviewed and revised by two dermatologists to eliminate potential misunderstandings, grammar, and other errors. Power analysis indicated a requirement of a minimum of 527 participants, given a 0.05 margin of error, 98% confidence level, and 0.50 response distribution. Results: A total of 873 individuals completed the survey— 47.7% were male and 52.3% were female. Students made up 48.1% of the participants, while 22.6% were civil servants. The Marmara Region had the highest participation rate at 47.7%. Remarkably, 41.9% of participants were unfamiliar with the term "teledermatology." However, 57.2% expressed a preference for consultations via teledermatology. Furthermore, 63.7% mentioned facing challenges when attempting to communicate with dermatologists for skin-related concerns. A notable 71.6% supported the formal implementation of teledermatology in our country. Conclusion: Our survey highlighted a limited awareness of teledermatology among participants, yet a majority showed a preference for teledermatology consultations. For a comprehensive understanding of public knowledge and perception towards teledermatology, more extensive, multicentric studies are necessary.

show abstract

Section: Resultsmentioning

confidence: 99%

Assessing Public Awareness and Perception of Teledermatology Via Survey

Altunisik,

Gençoğlu,

Türkmen

et al. 2024

Dermatol Pract Concept

View full text Add to dashboard Cite

show abstract

“…An improvement in patient safety 23 was reported in 7.2% of articles, which note a reduction in unnecessary harm related to healthcare, such as infections due to avoidable face-to-face visits in the context of the COVID-19 24 pandemic, correction of erroneous diagnoses, 25 avoidance of unnecessary tests and unindicated treatments, and prioritisation of treatment initiation, with consequent improvement in quality of life and life expectancy. Conversely, insufficient or doubtful data, 26 having little time 14 for patient assessment during virtual consultations, and the possibility of making decisions based on diagnostic errors, were identified as threats to safety.…”

Section: Resultsmentioning

confidence: 99%

“… 37–39 These issues have not been quantitatively evaluated in the literature. Furthermore, although many countries initially developed virtual consultation as a teledermatology tool, 23 its implementation in all medical 40–43 and surgical 44 specialties is warranted to improve the confidence 11 and resolutive capacity of primary care physicians, 45 as well as joint decision-making with other specialists.…”

Section: Discussionmentioning

confidence: 99%

Does virtual consultation between primary and specialised care improve healthcare quality? A scoping review of healthcare quality domains assessment

Marco-Ibáñez,

Aguilar-Palacio,

Aibar

2023

BMJ Open Qual

View full text Add to dashboard Cite

BackgroundVirtual consultation has been proposed as a promising tool to improve the coordination and quality of healthcare between primary and specialised care. However, despite its potential facilitators, the evidence on the usefulness of virtual consultation for improving healthcare quality domains is fragmented and unclear. This scoping review aims to assess the impact of virtual consultation on different healthcare quality domains.Material and methodsWe conducted a scoping review with a rigorous search strategy on PubMed, EMBASE and Cochrane Library databases. The inclusion criteria were original articles, reviews, meta-analyses or letters to the editor, published between 1 January 2017 and 24 June 2022, and available in English, Spanish or French. For each of the articles selected, we identified the addressed healthcare quality domains, their facilitators and barriers, areas of improvement and data gaps. We have adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Review reporting standards.Results1284 manuscripts were retrieved. Finally, 235 papers were included in this review, most of which were original, descriptive studies. The most evaluated quality domain was effectiveness (223 articles). Safety and patient-centred care were the least evaluated. Simultaneous assessment of more than one domain was observed in 117 papers, being effectiveness and timeliness the most frequent combination. Our analysis revealed that virtual consultation is in development and underused. This tool has the potential to improve access to specialised care and enhance coordination between professionals.ConclusionsVirtual consultation has the potential to provide effective, efficient, equitable and timely attention. However, its contribution to safety and patient-centered care needs further evaluation. Our review emphasises the need for more rigorous research and standardised quality assessment criteria to obtain robust evidence on the usefulness of virtual consultation for improving healthcare quality domains.

show abstract

“…Some centers use TD as diagnostic support in common dermatoses, while others use it as a triage and referral tool for malignant skin pathology. These differences in the approach of every center to the use of TD as a tool for a specialist evaluation, and to support clinical decision-making could account for notable differences observed between diagnosis, degree of resolution in the primary healthcare, and the number of referrals to secondary care [39].…”

Section: Discussionmentioning

confidence: 99%

Teledermatology Evaluation and Feedback Systems: A Tool for Improving Care

Gatica,

Aragón-Caqueo,

Aedo

et al. 2023

Healthcare

Self Cite

View full text Add to dashboard Cite

Chile is a country where teledermatology has been growing exponentially since the implementation of a single national asynchronous teledermatology platform for the public system in December 2018. To ensure the quality of care in teledermatology systems, it is crucial to evaluate the fulfillment of basic specifiers such as ICD-Diagnosis, therapeutic suggestions, and diagnostic suggestions, among others. This article aims to evaluate the teledermatology system of the Chilean public health service by analyzing 243 randomly extracted consultations, representative of the 20,716 electronic consultations performed during 2020. Compliance with basic specifiers is evaluated. From these, fulfillment of core teledermatology functions, such as diagnostic and therapeutic suggestions, is observed in most consultations. There are statistically significant relationships between the patient’s destination (primary health center [PHC] or face-to-face referral), pharmacological prescription, coverage of the drug prescribed by the public system, and the education received by the consulting physician. If the consultation is resolved in the PHC, there is a higher chance for pharmacological prescription, prescribing mostly drugs that are covered by the government. This is less likely to occur when patients are referred for face-to-face evaluation. A targeted evaluation of education, pharmacological prescriptions, and their applicability is key to improving the quality of teledermatology systems.

show abstract

Teledermatología en Chile: experiencia de su implementación temprana

Cited by 6 publications

References 20 publications

Assessing Public Awareness and Perception of Teledermatology Via Survey

Assessing Public Awareness and Perception of Teledermatology Via Survey

Does virtual consultation between primary and specialised care improve healthcare quality? A scoping review of healthcare quality domains assessment

Teledermatology Evaluation and Feedback Systems: A Tool for Improving Care

Contact Info

Product

Resources

About