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Using #teledermatology effectively in rural #primarycare settings


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20th Wonca Europe Conference 2015. Wonca 2015 Istanbul.
New Ways for Dealing with Medical Conditions.

It has been known for the last 2 decades that telemedicine provides better access to users in addition to reducing the waiting time between diagnosis in primary care and hospital.

In the Catalonian central region, two counties, Bages and Berguedà, have developed a teledermatology programme, which have had considerable success in reducing waiting lists while having wide acceptance among patients. This service is especially useful in rural areas where has been able to attend thousands avoiding unnecessary trips.

I would like to share my experience first as a manager implementing the teledermatology programme in 2010 and now working as a rural GP and actively using this service in my day-to-day work.

Published in: Health & Medicine
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Using #teledermatology effectively in rural #primarycare settings

  1. 1. Using teledermatology effectively in rural Primary Care settings Dr Josep Vidal-Alaball. Primary Care Physician. MPH BRITES: New Ways for Dealing with Medical Conditions
  2. 2. Provides better access to users Van Der Heijden, J.P. et al., 2011. Teledermatology applied following patient selection by general practitioners in daily practice improves efficiency and quality of care at lower cost. British Journal of Dermatology, 165(Table 1), pp.1058– 1065 Is both effective and efficient Hersh, W.R. et al., 2002. A systematic review of the efficacy of telemedicine for making diagnostic and management decisions. Journal of Telemedicine and Telecare, 8(4), pp.197–209 Ekeland, A.G., Bowes, A. & Flottorp, S., 2010. Effectiveness of telemedicine: a systematic review of reviews. International journal of medical informatics, 79(11), pp.736–71 Enjoy a high acceptance among users Devine, J., 2009. User satisfaction and experience with antelemedicine service for diabetic footndisease in an Australian rural community. Available at: Telemedicine …
  3. 3. In the Catalonian Central Region, dermatology waiting lists had increased significantly during the years 2010-2011 To try to reverse this trend in early 2011 we began a teledermatology project Since the start of the project, the median (confidence interval 95%) of the days on the waiting list has reduced from 30 (29; 32) to 16 (15; 17) days * *Vidal-Alaball, J. et al., 2014. Evaluación del impacto de la teledermatología en la disminución de la lista de espera en la comarca del Bages (2009-2012). Aten Primaria, pp.9–10. Reduces waiting lists
  4. 4. Teledermatology Pathway HC 1. We take a picture of the lesion (Digital Camera - iPad) 2. We include the picture in the e-clinical history 3. We write the clinical history for the Dermatologist in the e-notes 4. The dermatologist has access to the e-history 5. The dermatologist looks at the pictures, writes a diagnosis and suggest treatment or ask for a referral
  5. 5. Josep Vidal-Alaball Twitter: @jvalaball