Teledermatología en el Área Sanitaria Centro Oeste de Granadadesde atención primaria a especializada

  1. A. Ayén-Rodriguez 1
  2. J.M. Llamas-Molina 1
  3. A.M. Cabrerizo-Carvajal 2
  4. F.J. Leon-Lopez 3
  5. R. Ruiz-Villaverde 1
  1. 1 Servicio de Dermatología, Hospital Universitario San Cecilio, Granada, España
  2. 2 Centro de Salud de Armilla, Granada, España
  3. 3 Centro de Salud Zaidin Sur, Granada, España
Revista:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Ano de publicación: 2021

Número: 4

Páxinas: 224-229

Tipo: Artigo

DOI: 10.1016/J.SEMERG.2021.01.011 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Semergen: revista española de medicina de familia

Resumo

Introduction Teledermatology (TD) is a health tool based on the application of information and communication technologies (ICT) for the care of skin diseases at a distance, allowing a better connection between primary care professionals (PCP) and specialized care. The objective of this study was to analyze the characteristics of the teleconsultations made to our service in a period of 2 years (January 1, 2018 to December 31, 2019). Material and methods The data was obtained from a TD system with dermoscopy that allows teleconsultations to be carried out asynchronously. Data were analyzed over 24 months. The variables studied were the health centre of origin, the diagnostic suspicion of the PCP, the time and type of response, and the clinical judgment issued by the dermatologist. Results Between January 1, 2018 and December 31, 2019, a total of 3,294 teleconsultations were received. 24.76% were referred to the dermatology consultation, while 25.63% required subsequent follow-up electronically. The most frequent diagnostic suspicion by the PCP was that of benign pathology (54.71%). The most frequent dermatological clinical judgment was that of seborrheic keratosis (20.19%), followed by actinic keratosis (14.02%), acquired common melanocytic nevi (13.24%) and basal cell carcinoma (8.98%). Conclusions The TD system is a useful tool that allowed a quick response to a high percentage of consultations, helping to avoid unnecessary referrals and easy communication between primary and specialized care. It also allows prioritizing those patients with malignant tumour pathology.

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