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口腔医学中的远程医疗:基于移动应用的横断面评估。

Telehealth in oral medicine: A cross-sectional evaluation based on a mobile application.

机构信息

Dentistry Post Graduation Program, Universidade Federal da Paraíba, João Pessoa, Brazil.

Universidade Federal da Paraíba, João Pessoa, Brazil.

出版信息

Technol Health Care. 2024;32(3):1515-1522. doi: 10.3233/THC-230584.

Abstract

BACKGROUND

Teledentistry is considered a good tool in the diagnostic process. In oral medicine, there is a low number of trained professionals and dentists have difficulty in diagnosing and treating oral lesions.

OBJECTIVE

We aimed to perform a cross-sectional evaluation based on the mobile application for oral diagnosis using a mobile application in a Brazilian State.

METHODS

This is a retrospective, cross-sectional, observational study of the data of the "Telehealth in Stomatology in Paraíba" carried out between May 2021 and November 2022.

RESULTS

The app has a team of 16 consultants (Ph.D. professors, postgraduate students, residents, and dentists). In addition, there are 289 registered professionals, with a mean age of 33.7 years, predominantly female (70.2%), working in primary care (79.2%), and general practitioners (42.6%). Regarding the cases, the app has 194 cases, and reactive lesions are the most suggested hypotheses reported by dentists (24.5%) and consultants (22.3%). We had an overall concordance rate of 64.1%.

CONCLUSION

The application is easily accessible and has an assistance network that helps with early diagnosis. In addition, it has good coverage with users in more than 50% of the cities in the state. Thus, applications that provide specialized care to distant areas are important for better public health.

摘要

背景

远程牙科被认为是诊断过程中的一种良好工具。在口腔医学领域,专业人员数量较少,牙医在诊断和治疗口腔病变方面存在困难。

目的

我们旨在通过在巴西州使用移动应用程序对口腔诊断的移动应用程序进行横断面评估。

方法

这是一项回顾性、横断面、观察性研究,对 2021 年 5 月至 2022 年 11 月期间开展的“Paraíba 口腔远程医疗”的数据进行了研究。

结果

该应用程序拥有一个由 16 名顾问组成的团队(博士教授、研究生、住院医师和牙医)。此外,还有 289 名注册专业人员,平均年龄为 33.7 岁,主要为女性(70.2%),在初级保健机构(79.2%)和全科医生(42.6%)工作。就病例而言,该应用程序有 194 个病例,牙医(24.5%)和顾问(22.3%)报告的反应性病变是最常见的假设。我们的总体一致性率为 64.1%。

结论

该应用程序易于访问,并拥有一个辅助网络,有助于早期诊断。此外,它在该州超过 50%的城市都有用户,覆盖范围较广。因此,为偏远地区提供专业护理的应用程序对于改善公共卫生非常重要。

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