Implementation of a teledermatology electronic consultation program to improve the care of patients with inflammatory bowel disease
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Implementation of a teledermatology electronic consultation program to improve the care of patients with inflammatory bowel diseaseAutor(es)
Fecha
2024-01-24Cita bibliográfica
Echarri A, Pradera C, Molina G, Gonzalez Moure C, De Las Heras C, Fraga Iriso R, Ollero V, Echevarria C, Muñiz J. Implementation of a teledermatology electronic consultation program to improve the care of patients with inflammatory bowel disease. Telemed Rep. 2024 Jan 24;5(1):12-17.
Resumen
[Abstract] Introduction: Skin lesions are a common extraintestinal manifestation associated with inflammatory bowel disease (IBD), although they may also appear as a complication of IBD treatment. Prompt referral to the dermatologist can be very helpful in practice. Teledermatology complements the traditional in-person health care modality, improving access to dermatological care.
Objective: To evaluate the impact of a store-and-forward teledermatology electronic consultation (e-consult) program on the care of IBD patients.
Methods: A retrospective study assessing the outcomes of our teledermatology program over its first 2 years of implementation.
Results: A total of 39 consultations involving 33 patients (69.2% women, mean age 39.6 years [12-63]) were conducted. The mean number of teleconsultations was 2.8 per month in the initial implementation stage: 33 consultations were carried out in patients with Crohn's disease and 6 in ulcerative colitis. Only 18% of the patients had an active flare-up. The most frequent reason for the e-consult was paradoxical psoriasiform lesions (n = 13, 33.3%), commonly related with anti-tumor necrosis factor agents (70% of the patients) and hidradenitis suppurativa (n = 4, 10.3%). Resolution was achieved in 87% of patients, with a mean waiting time of 4.7 days (0-14). Almost all patients (97%) were satisfied with our program, and considered the referral through the program to be appropriate (92%). Best valued features were the reduced waiting time and the coordinated approach between the two departments involved.
Conclusions: Dermatology e-consult is an efficient and useful means of optimizing IBD patient care.
Palabras clave
IBD care
e-Consult
e-Health
Teledermatology
e-Consult
e-Health
Teledermatology
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Creative Commons Attribution 4.0 International License (CC-BY 4.0)
ISSN
2692-4366