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dc.creatorBarros-Tornay, Rubenes
dc.creatorFerrándiz Pulido, Laraes
dc.creatorMartín-Gutiérrez, Francisco J.es
dc.creatorFernández-Orland, Almudenaes
dc.creatorSerrano-Gotarredona, Amaliaes
dc.creatorde la Torre, José M.es
dc.creatorMoreno-Ramírez, Davides
dc.date.accessioned2022-09-27T15:59:56Z
dc.date.available2022-09-27T15:59:56Z
dc.date.issued2021
dc.identifier.citationBarros-Tornay, R., Ferrándiz, L., Martín-Gutiérrez, F.J., Fernández-Orland, A., Serrano-Gotarredona, A., de la Torre, J.M. y Moreno-Ramírez, D. (2021). Feasibility and cost of a telemedicine-based short-term plan for initial access in general dermatology in Andalusia, Spain. JAAD International, 4, 52-57.
dc.identifier.issn2666-3287es
dc.identifier.urihttps://hdl.handle.net/11441/137409
dc.description.abstractBackground: 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. ( JAAD Int 2021;4:52-7.)es
dc.formatapplication/pdfes
dc.format.extent6 p.es
dc.language.isoenges
dc.publisherElsevier BVes
dc.relation.ispartofJAAD International, 4, 52-57.
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectAccessibilityes
dc.subjectDermatology carees
dc.subjectHealth care serviceses
dc.subjectTechnologyes
dc.subjectTeledermatologyes
dc.subjectTelemedicinees
dc.titleFeasibility and cost of a telemedicine-based short-term plan for initial access in general dermatology in Andalusia, Spaines
dc.typeinfo:eu-repo/semantics/articlees
dcterms.identifierhttps://ror.org/03yxnpp24
dc.type.versioninfo:eu-repo/semantics/publishedVersiones
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.contributor.affiliationUniversidad de Sevilla. Departamento de Medicinaes
dc.date.embargoEndDate2021
dc.relation.publisherversionhttp://doi.org/10.1016/j.jdin.2021.05.002es
dc.identifier.doi10.1016/j.jdin.2021.05.002es
dc.journaltitleJAAD Internationales
dc.publication.volumen4es
dc.publication.initialPage52es
dc.publication.endPage57es

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