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Assessing perceived needs for telepathology implementation in Colombia: a baseline study from Red GLORIA.

Marcela Gomez-Suarez1, Gabriel E Acelas-Gonzalez1, Andrés Mosquera-Zamudio1,2

  • 1Instituto de Investigación, Universidad FUCS, Bogotá, Colombia.

Frontiers in Digital Health
|May 28, 2026
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Summary

Delays in cancer diagnosis in Colombia are linked to limited access to pathology specialists. Implementing telepathology could improve timely feedback and address professional needs, but requires overcoming structural barriers.

Keywords:
cancerlatín Americaoncologypathologhypublic healthtelepathology

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Area of Science:

  • Digital Health
  • Pathology Informatics
  • Global Health

Background:

  • Cancer diagnosis in Colombia suffers from delays and regional disparities, especially in rural areas.
  • General pathologists face challenges with limited subspecialist support for complex oncological cases.
  • This contributes to diagnostic uncertainty and increased professional burden.

Purpose of the Study:

  • To assess the current state of pathology practice in Colombia regarding complex oncological cases.
  • To evaluate the perceived need for and barriers to telepathology adoption among Colombian pathologists.
  • To identify key factors for successful telepathology implementation.

Main Methods:

  • A concurrent mixed-methods design was employed within the GLORIA project.
  • Quantitative data collected via national survey (n=57) of pathologists.
  • Qualitative data gathered through interviews with general pathologists (n=11) from small/mid-sized labs.

Main Results:

  • 100% of participants need subspecialist support; 86% report high emotional stress due to diagnostic uncertainty and workload.
  • Consultation response times vary significantly (1-7 days in Bogotá vs. >30 days in smaller cities).
  • While 86% are familiar with telepathology, only 36.8% have used it; 94% believe slide scanners improve timeliness. Barriers include administrative and logistical issues.

Conclusions:

  • Telepathology implementation in Colombia requires addressing technical readiness, referral workflow barriers, and pathologist needs.
  • Key needs include timely feedback, shared responsibility, and learning opportunities.
  • Overcoming structural and professional barriers is crucial for effective telepathology integration.