Videoconsulta en atención primaria: una ventana a la realidad. A propósito de 3 casos clínicos

OBJECTIVES: Discussion based on three clinical cases of the applicability of videoconsultation in the Primary Care practice. DESCRIPTION: Videoconsults are a modality of telemedicine that allows for an improved doctor-patient interaction and resembles in-person consultations. Despite overwhelming evidence at an international level, it is not until the arrival of the COVID-19 pandemic that it has found a place in our country. In the evaluation and follow-up of patients with mental health problems, it grants a climate of trust that enables the demonstration of emotions with more facial contact than in on-site consults and translates into a method that complements and expands the necessary clinical information. In the monitoring of respiratory diseases, videoconsults permit an improved education in management of inhaled therapy and the recording of the inhaling technique in a safe environment. In the management of COVID-19 it may be the consult of choice to discriminate patients with moderate affectation and indication of complementary tests. CONCLUSION: The main advantages to videoconsults are the greater facial interaction and the avoidance of unnecessary displacements. A need exists to resolve certain technical aspects, encourage training and creating a culture that facilitates its progressive implementation.