目的:2013年,我们实施了用于诊断眼睑疾病(tele-liid)的异步远程医疗电路,将门诊基层医疗保健与医院的专家联系起来。这项研究的目的是评估远程医疗在初级保健团队诊断眼睑疾病中的应用,评估其有用性并分析三级医院的病理状况的流行病学,以及手术的需要。
方法:这项研究是在西班牙公共卫生系统中进行的,在主要由加泰罗尼亚学院(ICS)和AlthaiaXarxa助理大学协助的农村地区。这是一个回顾展,对2013年至2019年进行的远程信息处理咨询的描述性分析。2018年至2019年的会诊进行了进一步的描述性回顾性前瞻性分析,以评估医院的病情。
结果:在72%的远程会诊中避免了不必要的转诊。超过50%的初级保健医生使用远距眼睑。高达68%的转诊是由于眼睑肿瘤,50%需要手术18%,活检.此外,我们发现远程信息处理和面对面诊断之间有很高的可靠性.
结论:应用于眼睑病理学的远程眼科学是改善获得专业护理并帮助解决病理状况的有用工具。避免了不必要的磋商,提高效率,在基层和医院护理方面。
OBJECTIVE: In 2013 we implemented an asynchronous telemedicine circuit for the diagnosis of eyelid diseases (tele-eyelid), connecting the outpatient primary healthcare with the hospital\'s specialists. The purpose of this study is to assess the use of telemedicine in the diagnosis of eyelid diseases by primary care teams, to evaluate its usefulness and to analyse the epidemiology of the pathological conditions referred to the tertiary level hospital, as well as the need for surgery.
METHODS: This study was carried out in the Spanish public health system, in a mainly rural area assisted by the Institut Català de la Salut (ICS) and Althaia Xarxa Assistencial Universitària de Manresa. This is a retrospective, descriptive analysis of the telematic consultations undertaken between 2013 and 2019. The consultations between 2018 and 2019 underwent a further descriptive retrospective-prospective analysis to assess the conditions referred to the hospital.
RESULTS: Unnecessary referrals were avoided in 72% of telematic consultations. More than 50% of primary care practitioners used tele-eyelid. Up to 68% of the referrals were due to eyelid tumours, 50% needed surgery and 18%, a biopsy. Moreover, we found a high reliability between telematic and face-to-face diagnosis.
CONCLUSIONS: Teleophthalmology applied to eyelid pathology is a useful tool to improve access to specialized care and helps solving pathological conditions. It avoids unnecessary consultations and increases efficiency, both in primary and hospital care.