Patient and Family Doctor Satisfaction with Teledermatology Consultations in CHVNG/E

• Autor(a) principal: Teixeira, Diogo
• Data de Publicação: 2020
• Outros Autores: Lopes, Jorge, Sousa, Ana Cristina, Costa, Miguel, O. Ferreira, Eduardo, Baptista, Armando, Varela, Paulo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.29021/spdv.78.3.1190
• topic: Dermatology; Physicians, Family; Remote Consultation; Telemedicine; Consulta Remota; Dermatologia; Médicos de Família; Telemedicina

Introduction: Teledermatology (store and forward) has been used to improve priority screening for hospital consultations and to respond, in a minority of cases, to simple situations. The Dermatology consultation request via Consulta Tempo e Horas must now be accompanied by clinical photo(s), according to Despacho 6280/2018 of 28 June 2018. We intend to evaluate the satisfaction of patients and family doctors regarding teledermatology consultation. Material and Methods: A survey was carried out on patients subjected to teledermatology consultation during the 1st quarter of 2018, with a retrospective analysis of the clinical record. An online survey was also carried out on family doctors belonging to the Agrupamentos de Centros de SaúdeACeS of the Centro Hospitalar Vila Nova de Gaia/Espinho reference area. Results: Of the 153 patients surveyed, response was obtained in 27.5% (n = 42). Pigmented lesions corresponded to 54.8% (n=23) of the total consultations. Treatment was proposed in 42.9% (n=18). Patients would prefer in-person consultation in 90.2% (n=38) of cases. Eighty-two responses were obtained from family doctors. Half of the responders agree with the mandatory attachment of clinical photos to the consultation request, even if this leads to an increase of 11.21 ± 8.84 minutes to the request time. When a teledermatology consultation is made, 47.6% (n=39) of family doctors report that the patient's problem is only partially treated. Conclusion: Teledermatology consultation (store and forward) only solves a minority of clinical situations. Furthermore, it is not considered a satisfactory solution for patients.