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J Health Care Poor Underserved ; 30(4): 1394-1406, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31680104

RESUMEN

BACKGROUND: In Haiti, rural populations lack access to specialized care, such as dermatology, yet dermatological conditions are common causes for primary care (PC) visits. Studies on teledermatology from resource-constrained settings demonstrate promising results. We assessed the feasibility of implementing teledermatology in rural Haiti. METHODS: Patients with dermatological problems were examined by a PC provider in Haiti. Photos and intake evaluations were reviewed by U.S.-based dermatologists. RESULTS: Among 101 patients with dermatological problems, atopic disease and fungal infections were most common. Average diagnostic concordance between Haitian providers and U.S. dermatologists was 68.9%. The average time from intake to "case-closed" was 1.67 days. DISCUSSION: Diagnostic concordance and turn-around time were comparable to similar studies, demonstrating that teledermatology is well-suited for rural Haiti and could increase access to specialized care. CONCLUSION: In Haiti and similar settings, telemedicine should be considered a viable option for meeting the health care needs of underserved populations.


Asunto(s)
Dermatología/métodos , Necesidades y Demandas de Servicios de Salud , Población Rural , Telemedicina , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Preescolar , Estudios de Factibilidad , Femenino , Haití/epidemiología , Accesibilidad a los Servicios de Salud , Necesidades y Demandas de Servicios de Salud/estadística & datos numéricos , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Población Rural/estadística & datos numéricos , Enfermedades de la Piel/diagnóstico , Enfermedades de la Piel/epidemiología , Enfermedades de la Piel/terapia , Adulto Joven
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