Teledermatología: impacto de una herramienta de gestión informática para zonas remotas de Chile

Cruz, Héctor Fuenzalida; Ortega, Isabel Jimeno; Vega, Stefania Toso Díaz de la; Muñoz, Alejandro Sepúlveda; Muñoz, Rodrigo Loubies

doi:10.1016/j.piel.2016.11.016

Cited by 6 publications

(2 citation statements)

References 9 publications

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“…Otro estudio publicado en 2011, que incluyó 172 teleconsultas de un centro de salud rural de la región del Maule analizadas por un teledermatólogo del Hospital Clínico de la Universidad de Chile, encontró una concordancia diagnóstica de 88,3%, además de reportar altos niveles de satisfacción usuaria y de resolución de las teleconsultas 17 . Por último, un estudio de 2017 que analizó 1.764 teleconsultas derivadas desde el Servicio de Salud de Reloncaví a dermatólogos del Hospital El Pino en Santiago encontró una concordancia mayor a 60% 18 .…”

Section: Discussionunclassified

Teledermatología asincrónica a través de WhatsApp®: experiencia en la Pontificia Universidad Católica de Chile

et al. 2020

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Section: Discussionunclassified

Teledermatología asincrónica a través de WhatsApp®: experiencia en la Pontificia Universidad Católica de Chile

et al. 2020

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“…Studies regarding the implementation of TD systems within the healthcare systems, as a tool to support access to specialized care, have shown comparable outcomes to conventional face-to-face consultation in terms of accuracy in diagnosis, management, and clinical outcomes, in settings where face-to-face consultation is not available or access to specialist consultation is severely limited [5][6][7]. In addition, several studies suggest that TD is a cost-effective tool that allows for the reduction of waiting times and efficient use of specialized resources and optimizes the relevance of referrals to face-to-face evaluation by the specialty, ultimately improving access to health care in populations with limited access [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Teledermatology Evaluation and Feedback Systems: A Tool for Improving Care

Gatica,

Aragón-Caqueo,

Aedo

et al. 2023

Healthcare

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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.

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