La teledermatologia esta ganando campo entre la poblacion en USA, en nuestro país, aunque pequeño, pero con la saturación de nuestras calles, podría ser una opción en algunas patologías.
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This population-based study assessed the access to dermatology care after implementing teledermatology among Californian Medicaid enrollees. User practices (practices that used store-and-forward teledermatology) represented 12.3% of in-network primary care practices and served 79.1% of all enrollees. Of all visits with a dermatologist, 21% were through teledermatology and served 48.5% of patients who interacted with a dermatologist. Of teledermatology encounters, 80% were store-and-forward visits and 19.8% were in-person follow-ups. Teledermatology served more patients younger than 17 years old, males, nonwhites, and individuals without comorbid conditions. The most common diagnoses from teledermatology visits were viral skin lesions and acne, while acne and neoplasms of uncertain behavior were the most common diagnoses from in-person visits. The percentage of enrollees with one or more visits with a dermatologist increased from 1.2% to 1.9% among user practices (a 63.8% growth rate) and from 1.2% to 1.5% among nonuser practices (a 20.5% growth rate). The number of visits per 1000 enrollees increased from 40.55 to 66.72 among user practices and from 37.09 to 59.38 among nonuser practices (64.6% vs 60.1% growth rate).
Teledermatology improves access to dermatologic care for Medicaid enrollees according to this study.
– Anna Wile, MD
Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica
4000-1054
2208-8206
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