Teledermatología en tiempos de pandemia: El antes, el durante y el después

Pasquali, Paola; Romero-Aguilera, G.; Moreno‐Ramírez, D.

doi:10.1016/j.ad.2020.11.008

Cited by 17 publications

(10 citation statements)

References 8 publications

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“…More recently, the arrival of the COVID-19 pandemic changed the scheme of in-person consultation within the healthcare system, except for those cases deemed emergencies [ 3 , 5 ]. Although TD was already in use worldwide, the arrival of COVID-19 and the subsequent confinement period consolidated the application of the tool [ 4 , 6 ]. Prior to this time, it had primarily been a resource aimed at rural populations with less convenient accessibility [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Dermatological conditions are a frequent reason for primary care (PC) visits [ 8 ]. In general terms, TD is an easy-access tool for professionals in this field worldwide [ 6 , 9 ]. In some countries, TD service begins with PC physicians/nurses taking a photograph of the lesion in question and attaching it to the patient’s electronic medical records, along with a brief clinical description.…”

Section: Introductionmentioning

confidence: 99%

“…The use of TD is greater in countries in North America and Europe [ 9 ]. Spain is one of the leading countries with active TD programs [ 6 ]. However, in other countries, such as Argentina, TD is currently in its early stages of development [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Teledermatology versus Face-to-Face Dermatology: An Analysis of Cost-Effectiveness from Eight Studies from Europe and the United States

Liria

Valverde-Martínez

López-Villegas

et al. 2022

IJERPH

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(1) Background: The aim of this systematic review was to compare the cost-effectiveness of two follow-up methods (face-to-face and telemedicine) used in dermatology in the last ten years. (2) Methods: A search for articles that included economic analyses was conducted in August 2021 in the databases PubMed, Medline, Scielo and Scopus using the following keywords: “Cost–Benefit Analysis”, “Dermatology”, “Telemedicine”, “Primary Health Care”, as well as other search terms and following the PICOS eligibility criteria. (3) Results: Three clinical trials and five observational studies were analyzed, providing information for approximately 16,539 patients (including four cost-minimization or saving analyses, three cost-effectiveness analyses, and one cost–utility analysis) in Europe and the United States. They describe the follow-up procedures in each of the cases and measure and analyze the direct and indirect costs and effectiveness. All the articles indicate that teledermatology lowers costs and proves satisfactory to both patients and professionals. (4) Conclusions: Although it has been found that follow-up via teledermatology can be more efficient than traditional hospital follow-up, more work is needed to establish evaluation protocols and procedures that measure key variables more equally and demonstrate the quality of the evidence of said studies.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Teledermatology versus Face-to-Face Dermatology: An Analysis of Cost-Effectiveness from Eight Studies from Europe and the United States

Liria

Valverde-Martínez

López-Villegas

et al. 2022

IJERPH

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“…Telemedicine (teledermatology) involves two major technologies (i) 'Store-and-forward' (SAF) technology—clinical images and associated information are forwarded to a specialist at a suitable time (asynchronous) and (ii) real-time video conferencing (synchronous) with the dermatologist. [ 20 ] The common platforms being used for this purpose include WhatsApp, Facebook Messenger, Skype, email, and proprietary teledermatology consultation software. [ 21 ]…”

Section: Discussionmentioning

confidence: 99%

Clinical Dermatology and COVID-19 Pandemic

Mintoff

Chatterjee

Podder

et al. 2021

Indian Journal of Dermatology

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The coronavirus disease of 2019 (COVID-19) pandemic has radical repercussions on every aspect of medical science, including dermatology. The magnitude of the impact on clinical dermatology cannot be overemphasized. Dermatologists have been forced to modify and reconsider the way they consult patients. Teledermatology has come up in a big way, with most of the clinicians resorting to technology and software-based consultations. Management of different dermatological conditions like papulosquamous disorders, vesiculobullous disorders, malignancies, etc., needs to be modified as per the different recommendations proposed by expert panels. This review is an attempt to highlight the impact of this destructive pandemic on various aspects of clinical dermatology.

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“…Despite the use of TD for more than 20 years, its implementation has been slow, with a rise observed in the last few years due to the COVID-19 pandemic, given the change in the face-to-face consultation scheme within health systems. TD can be implemented in a variety of primary care environments, including Primary Health Centers, hospitals, nursing homes, and rural areas without access to a dermatologist [ 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Patients’ Experiences and Communication with Teledermatology versus Face-to-Face Dermatology

Costa

López-Villegas

Pérez-Heredia

et al. 2022

JCM

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(1) Background: Teledermatology (TD) has exponentially grown since the onset of COVID-19, as the Face-to-Face Dermatology (F-F/D) modality changed within Public Health Systems. Although studies have been conducted on health results, we did not find any that analyzed the experiences of individuals who received care through TD. Therefore, the main objective of the study was to analyze the experiences of dermatology patients and the communication with health personnel. (2) Methods: A multicenter, controlled, randomized, non-blinded clinical trial was designed. Data were collected during the six months of follow-up. Four-hundred and fifty patients participated in the present study, who were assigned to two different groups: TD and F-F/D. The sociodemographic and clinical characteristics of the participants were collected. The ‘Generic Short Patient Experiences Questionnaire’ (GS-PEQ) was used to assess patients’ experiences, and the Healthcare Communication Questionnaire (HCCQ) was used to measure the communication of patients with healthcare professionals. (3) Results: After six months of follow-up, 450 patients completed the study (TD = 225; F-F/D = 225) of which 53.3% were women, with an average age of 52.16 (SD = 19.97). The main reasons for the consultations were skin lesions (51.56%) located on the head and neck (46.8%), followed by the legs (20.7%). According to the GS-PEQ, TD users indicated having a greater confidence in the professional skills of the doctors (p < 0.01). However, the F-F/D group indicated having received more adequate information about their diagnosis/afflictions (p < 0.01), were more involved in the decisions related to their treatment (p < 0.01), and more satisfied with the help and treatment received (p < 0.01). Regarding the HCCQ, the TD group obtained better assessments with respect to if the patients had been treated in a rude and hasty manner, if the health professionals had addressed them with a smile, and if these could adequately manage the reason for the consultation (p < 0.01). (4) Conclusions: The results of the study generally showed positive experiences and communication. The TD group indicated having received less information about the diagnosis, were less involved in the decisions, and were less satisfied with the help and treatment received. However, they indicated having more confidence on the professional skills of the doctors, and that the work at the institution was better organized. In addition, they perceived better communication skills of the health professionals, although less respect for their privacy.

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Teledermatología en tiempos de pandemia: El antes, el durante y el después

Abstract: Graphical abstract

Cited by 17 publications

References 8 publications

Teledermatology versus Face-to-Face Dermatology: An Analysis of Cost-Effectiveness from Eight Studies from Europe and the United States

Teledermatology versus Face-to-Face Dermatology: An Analysis of Cost-Effectiveness from Eight Studies from Europe and the United States

Clinical Dermatology and COVID-19 Pandemic

Patients’ Experiences and Communication with Teledermatology versus Face-to-Face Dermatology

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