Debernardi María Emilia, Bordón María Paz, Campastri Ana, Chequim Agustina, Cilio Antonella M, Fava María Victoria, Kuperman Wilder Lola, Bendjuia Gabriela
División Dermatología, Hospital General de Agudos José María Ramos Mejía, Buenos Aires, Argentina. E-mail:
División Dermatología, Hospital General de Agudos José María Ramos Mejía, Buenos Aires, Argentina.
Medicina (B Aires). 2020;80 Suppl 6:18-24.
Telemedicine refers to the use of information and communication technologies to provide health care. Dermatology is particularly suited for this virtual modality. The COVID-19 pandemic significantly increased the use of telemedicine worldwide which has demonstrated to be useful in promoting social distancing and in avoiding the overload of the healthcare system. This is an observational study about the use of teledermatology during the pandemic in the area of connective tissue diseases in a public hospital in Buenos Aires City. The main objective was to assess if teledermatology is useful to resolve patient's consultation and thus to avoid the referral to the hospital. There were 120 teledermatological consultations included, from which 93.3% were made by women. The average age was 38.4 years. The 57.5% of the consultations were from patients of the outskirts of Buenos Aires and 33.3% from Buenos Aires City. The 47.5% of consultations were from patients with no medical insurance. Of the total, 17 (14.2%) required referral to a health center. Most of the consultations were follow-up's and in a lower percentage, due to reactivation of the underlying disease or another reason. Patients who completed the survey reported not having difficulties and were able to resolve their consultations through virtual care. Doctors involved in this study were totally satisfied with the experience and they felt that teledermatology was a valid resource to continue with their medical training and would choose to use it in the near future.
远程医疗是指利用信息和通信技术提供医疗保健服务。皮肤病学特别适合这种虚拟模式。新冠疫情显著增加了全球范围内远程医疗的使用,事实证明它有助于促进社交距离,并避免医疗系统不堪重负。这是一项关于布宜诺斯艾利斯市一家公立医院在疫情期间结缔组织病领域使用远程皮肤病学的观察性研究。主要目的是评估远程皮肤病学是否有助于解决患者的咨询问题,从而避免患者前往医院就诊。该研究共纳入120例远程皮肤病学咨询病例,其中93.3%为女性患者。平均年龄为38.4岁。57.5%的咨询病例来自布宜诺斯艾利斯郊区的患者,33.3%来自布宜诺斯艾利斯市。47.5%的咨询病例来自没有医疗保险的患者。在所有病例中,17例(14.2%)需要转诊至医疗中心。大多数咨询病例是随访病例,因基础疾病复发或其他原因进行咨询的病例占比相对较低。完成调查的患者报告称没有遇到困难,并且能够通过虚拟医疗解决他们的咨询问题。参与该研究的医生对这次经历完全满意,他们认为远程皮肤病学是继续医学培训的有效资源,并会在不久的将来选择使用它。