000 02905cam a2200409 4500500
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041 _afre
042 _adc
100 1 0 _aSaka, Bayaki
_eauthor
700 1 0 _a Mouhari-Toure, Abas
_eauthor
700 1 0 _a Akakpo, Sefako
_eauthor
700 1 0 _a Teclessou, Julienne
_eauthor
700 1 0 _a Lauressergues, Emilie
_eauthor
700 1 0 _a Przybylski, Christophe
_eauthor
700 1 0 _a Gnossike, Piham
_eauthor
700 1 0 _a Kassang, Panawé
_eauthor
700 1 0 _a Mahamadou, Garba
_eauthor
700 1 0 _a Matel, Léa
_eauthor
700 1 0 _a Barruet, Raymond
_eauthor
700 1 0 _a Akakpo, Claude
_eauthor
700 1 0 _a Kombate, Koussake
_eauthor
700 1 0 _a Garrette, Béatrice
_eauthor
700 1 0 _a Tchangai-Walla, Kissem
_eauthor
700 1 0 _a Pitche, Palokinam
_eauthor
245 0 0 _aEvaluation of the tele-expertise project in the management of common dermatoses in Togo
260 _c2023.
500 _a18
520 _aIntroduction: Tele-expertise in dermatology represents an opportunity to change medical practice in response to the need for cost savings in the health sector. The aim of this study was to evaluate the medical activities of the pilot phase of the tele-expertise project in Togo. Method: A cross-sectional study was conducted in October 2020 on the 20 sites of the pilot phase. This evaluation consisted of a literature review and analysis of data posted on the tele-expertise platform. Results: A total of 738 (10.8%) of the 6810 dermatological consultations were posted on the tele-expertise platform. Of the 738 cases, the dermatologist’s expertise did not allow a diagnosis to be made in 119 cases (16.1%). This expertise confirmed the single clinical hypothesis proposed by the health worker in 275 cases (37.3%) and allowed a diagnosis to be made among several clinical hypotheses in 30 cases (4.1%). On the contrary, the dermatologist’s diagnosis was not included in the health worker’s hypotheses in 201 cases (27.2%), and no clinical hypothesis was formulated in 113 cases (15.3%). The concordance between the clinical hypothesis proposed by the health worker and the diagnosis of the dermatologist was 48.8%. Regarding the acceptability of the tele-expertise, only one refusal was recorded. All patients were very satisfied with this practice. Conclusions: The results show the feasibility and acceptability of tele-expertise by health care personnel and patients. The diagnostic concordance of 48.8% shows the relative efficiency of task delegation.
690 _aCommon dermatoses
690 _aTogo
690 _aTeledermatology
690 _aCommon dermatoses
690 _aTogo
690 _aTeledermatology
786 0 _nSanté Publique | 35 | 2 | 2023-08-02 | p. 211-219 | 0995-3914
856 4 1 _uhttps://shs.cairn.info/journal-sante-publique-2023-2-page-211?lang=en&redirect-ssocas=7080
999 _c588065
_d588065