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Feasibility and cost of a telemedicine-based short-term plan for initial access in general dermatology in Andalusia, Spain
dc.creator | Barros-Tornay, Ruben | es |
dc.creator | Ferrándiz Pulido, Lara | es |
dc.creator | Martín-Gutiérrez, Francisco J. | es |
dc.creator | Fernández-Orland, Almudena | es |
dc.creator | Serrano-Gotarredona, Amalia | es |
dc.creator | de la Torre, José M. | es |
dc.creator | Moreno-Ramírez, David | es |
dc.date.accessioned | 2022-09-27T15:59:56Z | |
dc.date.available | 2022-09-27T15:59:56Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Barros-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.issn | 2666-3287 | es |
dc.identifier.uri | https://hdl.handle.net/11441/137409 | |
dc.description.abstract | 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. ( JAAD Int 2021;4:52-7.) | es |
dc.format | application/pdf | es |
dc.format.extent | 6 p. | es |
dc.language.iso | eng | es |
dc.publisher | Elsevier BV | es |
dc.relation.ispartof | JAAD International, 4, 52-57. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Accessibility | es |
dc.subject | Dermatology care | es |
dc.subject | Health care services | es |
dc.subject | Technology | es |
dc.subject | Teledermatology | es |
dc.subject | Telemedicine | es |
dc.title | Feasibility and cost of a telemedicine-based short-term plan for initial access in general dermatology in Andalusia, Spain | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina | es |
dc.date.embargoEndDate | 2021 | |
dc.relation.publisherversion | http://doi.org/10.1016/j.jdin.2021.05.002 | es |
dc.identifier.doi | 10.1016/j.jdin.2021.05.002 | es |
dc.journaltitle | JAAD International | es |
dc.publication.volumen | 4 | es |
dc.publication.initialPage | 52 | es |
dc.publication.endPage | 57 | es |