Low teledermatology implantation
DOI:
https://doi.org/10.19230/jonnpr.3222Keywords:
Dermatology, Telemedicine, Primary CareAbstract
New technologies are changing our lives at the individual level and as a society. Its application in medicine is transforming our medical practice by giving it a new dimension and posing new challenges for both professionals and organizations. The application of new technologies to health sciences defines telemedicine. In the following work an introduction is made of the beginning of the application of telemedicine and new technologies through the search in the main databases: Pubmed, Cochrane and Uptodate with the terms of telemedicine, new technologies and teledermatology.
Objectives. To know the current state of telemedicine and one of its main applications in the field of dermatology, teledermatology, to know its degree of implantation, as well as its advantages and disadvantages. Study of the implementation of Dercam (teledermatology project in CLM).
Method. Descriptive study of all teleconsultations received through the Dercam system, from March 2016 to May 2017 in the GAI of Albacete, data were collected on the different Health Centers involved, the different pathologies consulted, response time, follow-up by primary or specialized care. Diagnostic match, diagnostic security and photo quality.
Result. A total of 370 teleconsultations (TC) were received in the Dercam system, with respect to a total of 10,903 consultations by normal route, to the Dermatology Service. The highest number of CT derived were from the Iniesta health center. The most frequent group of CT was inflammatory pathology with 25.14% followed by benign pigmented lesions with 24.05%. Most of the discharges are registered in the group of pathology of the hair follicle (66.67%), infectious (57.50%) and inflammatory with 45.16%. The response time in half of the cases between one and three days. The diagnostic coincidence is 58.54%, with a high security in the virtual diagnoses made by specialized and in the majority of the photos valued with medium quality.
Conclusions. The Dercam system in the GAI of Albacete is still in an incipient phase of implementation. It would be important to assess in which pathologies its use is more profitable to obtain a greater profitability, all through structured protocols involving all professionals.
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