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A Teledermatology Pilot Programme for the Management of Skin Diseases in Primary Health Care Centres: Experiences from a Resource-Limited Country (Mali, West Africa)

In sub-Saharan Africa, in particular in rural areas, patients have limited access to doctors with specialist skills in skin diseases. To address this issue, a teledermatology pilot programme focused on primary health centres was set up in Mali. This study was aimed at investigating the feasibility o...

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Autores principales: Faye, Ousmane, Bagayoko, Cheick Oumar, Dicko, Adama, Cissé, Lamissa, Berthé, Siritio, Traoré, Bekaye, Fofana, Youssouf, Niang, Mahamoudan, Traoré, Seydou Tidiane, Karabinta, Yamoussa, Gassama, Mamadou, Guindo, Binta, Keita, Alimata, Tall, Koreissi, Keita, Somita, Geissbuhler, Antoine, Mahé, Antoine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161172/
https://www.ncbi.nlm.nih.gov/pubmed/30274484
http://dx.doi.org/10.3390/tropicalmed3030088
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author Faye, Ousmane
Bagayoko, Cheick Oumar
Dicko, Adama
Cissé, Lamissa
Berthé, Siritio
Traoré, Bekaye
Fofana, Youssouf
Niang, Mahamoudan
Traoré, Seydou Tidiane
Karabinta, Yamoussa
Gassama, Mamadou
Guindo, Binta
Keita, Alimata
Tall, Koreissi
Keita, Somita
Geissbuhler, Antoine
Mahé, Antoine
author_facet Faye, Ousmane
Bagayoko, Cheick Oumar
Dicko, Adama
Cissé, Lamissa
Berthé, Siritio
Traoré, Bekaye
Fofana, Youssouf
Niang, Mahamoudan
Traoré, Seydou Tidiane
Karabinta, Yamoussa
Gassama, Mamadou
Guindo, Binta
Keita, Alimata
Tall, Koreissi
Keita, Somita
Geissbuhler, Antoine
Mahé, Antoine
author_sort Faye, Ousmane
collection PubMed
description In sub-Saharan Africa, in particular in rural areas, patients have limited access to doctors with specialist skills in skin diseases. To address this issue, a teledermatology pilot programme focused on primary health centres was set up in Mali. This study was aimed at investigating the feasibility of this programme and its impact on the management of skin diseases. The programme was based on the store-and-forward model. Health care providers from 10 primary centres were trained to manage common skin diseases, to capture images of skin lesions, and to use an e-platform to post all cases beyond their expertise for dermatologists in order to obtain diagnosis and treatment recommendations. After training, the cases of 180 patients were posted by trained health workers on the platform. Ninety-six per cent of these patients were properly managed via the responses given by dermatologists. The mean time to receive the expert’s response was 32 h (range: 13 min to 20 days). Analysis of all diseases diagnosed via the platform revealed a wide range of skin disorders. Our initiative hugely improved the management of all skin diseases in the targeted health centres. In developing countries, Internet accessibility and connection quality represent the main challenges when conducting teledermatology programmes.
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spelling pubmed-61611722018-10-01 A Teledermatology Pilot Programme for the Management of Skin Diseases in Primary Health Care Centres: Experiences from a Resource-Limited Country (Mali, West Africa) Faye, Ousmane Bagayoko, Cheick Oumar Dicko, Adama Cissé, Lamissa Berthé, Siritio Traoré, Bekaye Fofana, Youssouf Niang, Mahamoudan Traoré, Seydou Tidiane Karabinta, Yamoussa Gassama, Mamadou Guindo, Binta Keita, Alimata Tall, Koreissi Keita, Somita Geissbuhler, Antoine Mahé, Antoine Trop Med Infect Dis Article In sub-Saharan Africa, in particular in rural areas, patients have limited access to doctors with specialist skills in skin diseases. To address this issue, a teledermatology pilot programme focused on primary health centres was set up in Mali. This study was aimed at investigating the feasibility of this programme and its impact on the management of skin diseases. The programme was based on the store-and-forward model. Health care providers from 10 primary centres were trained to manage common skin diseases, to capture images of skin lesions, and to use an e-platform to post all cases beyond their expertise for dermatologists in order to obtain diagnosis and treatment recommendations. After training, the cases of 180 patients were posted by trained health workers on the platform. Ninety-six per cent of these patients were properly managed via the responses given by dermatologists. The mean time to receive the expert’s response was 32 h (range: 13 min to 20 days). Analysis of all diseases diagnosed via the platform revealed a wide range of skin disorders. Our initiative hugely improved the management of all skin diseases in the targeted health centres. In developing countries, Internet accessibility and connection quality represent the main challenges when conducting teledermatology programmes. MDPI 2018-08-17 /pmc/articles/PMC6161172/ /pubmed/30274484 http://dx.doi.org/10.3390/tropicalmed3030088 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Faye, Ousmane
Bagayoko, Cheick Oumar
Dicko, Adama
Cissé, Lamissa
Berthé, Siritio
Traoré, Bekaye
Fofana, Youssouf
Niang, Mahamoudan
Traoré, Seydou Tidiane
Karabinta, Yamoussa
Gassama, Mamadou
Guindo, Binta
Keita, Alimata
Tall, Koreissi
Keita, Somita
Geissbuhler, Antoine
Mahé, Antoine
A Teledermatology Pilot Programme for the Management of Skin Diseases in Primary Health Care Centres: Experiences from a Resource-Limited Country (Mali, West Africa)
title A Teledermatology Pilot Programme for the Management of Skin Diseases in Primary Health Care Centres: Experiences from a Resource-Limited Country (Mali, West Africa)
title_full A Teledermatology Pilot Programme for the Management of Skin Diseases in Primary Health Care Centres: Experiences from a Resource-Limited Country (Mali, West Africa)
title_fullStr A Teledermatology Pilot Programme for the Management of Skin Diseases in Primary Health Care Centres: Experiences from a Resource-Limited Country (Mali, West Africa)
title_full_unstemmed A Teledermatology Pilot Programme for the Management of Skin Diseases in Primary Health Care Centres: Experiences from a Resource-Limited Country (Mali, West Africa)
title_short A Teledermatology Pilot Programme for the Management of Skin Diseases in Primary Health Care Centres: Experiences from a Resource-Limited Country (Mali, West Africa)
title_sort teledermatology pilot programme for the management of skin diseases in primary health care centres: experiences from a resource-limited country (mali, west africa)
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161172/
https://www.ncbi.nlm.nih.gov/pubmed/30274484
http://dx.doi.org/10.3390/tropicalmed3030088
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