从诊断怀疑到使用远程皮肤病学的皮肤癌个人评估的时间
José Luis Gatica1, Diego Aragón-Caqueo2, Héctor Fuenzalida3
1Teledermatology Cell, Digital Hospital, Chilean Ministry of Health, Santiago, Chile.
概括
远程皮肤病学 (TD) 优化了皮肤癌转诊,但智利的等待时间.
科学领域:
- 皮肤病学 皮肤病学
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 早期皮肤癌诊断对于患者的治疗结果至关重要.
- 远程皮肤科 (TD) 可以简化转诊并减少患者等待时间.
- 智利的公共卫生保健系统使用TD平台进行皮肤病咨询.
研究的目的:
- 评估在智利的TD平台内对疑似皮肤恶性瘤的等待时间.
- 为了确定关键的转介节点,并评估患者途径的延迟.
主要方法:
- 异步远程咨询的横截面观测研究.
- 分析2022年1月1日至6月30日的数据,在智利卫生部的TD平台上.
- 专注于电话咨询,提升皮肤恶性瘤的怀疑.
主要成果:
- 在20,522次电话咨询中,有1853次涉嫌皮肤癌.
- 平均TD诊断建议时间为3.98天.
- 总体推时间平均为75.98天,区域差异很大.
结论:
- 在智利,远程皮肤病学有效地优化了疑似皮肤癌的转诊.
- 推等待时间超过国际标准,需要改进系统.
- 标准化的协议和明确的截止日期对于解决区域差异和减少延迟至关重要.
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