Evidence map›Paper›PMID 30134891›Full record

ArticleBMC health services research2018

A cost savings analysis of asynchronous teledermatology compared to face-to-face dermatology in Catalonia.

Josep Vidal-Alaball, Josep Lluís Garcia Domingo, Francesc Garcia Cuyàs, Jacobo Mendioroz Peña, Gemma Flores Mateo, Joan Deniel Rosanas, Glòria Sauch Valmaña

Abstract readComparative Study
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Skin & Digital: The 2024 Startups.JID innovations : skin science from molecules to population health · 2025
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  11. Work Group Report: COVID-19: Unmasking Telemedicine.The journal of allergy and clinical immunology. In practice · 2020
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Josep Vidal-AlaballHealth Promotion in Rural Areas Research Group (PRoSaARu), Gerència Territorial de la Catalunya Central, Catalan Health Institute, Carrer Pica d'Estats, 36, 08272, Sant Fruitós de Bages, Barcelona, Spain. jvidal.cc.ics@gencat.cat.ORCID http://orcid.org/0000-0002-3527-4242
Josep Lluís Garcia DomingoDepartment of Economics and Business, University of Vic- Central University of Catalonia, Vic, Barcelona, Spain.
Francesc Garcia CuyàsGeneral Surgery Department, Autonomous University of Barcelona, Barcelona, Spain.
Jacobo Mendioroz PeñaHealth Promotion in Rural Areas Research Group (PRoSaARu), Gerència Territorial de la Catalunya Central, Catalan Health Institute, Carrer Pica d'Estats, 36, 08272, Sant Fruitós de Bages, Barcelona, Spain.
Gemma Flores MateoXarxa Sanitària i Social de Santa Tecla, Tarragona, Spain.
Joan Deniel RosanasHealth Promotion in Rural Areas Research Group (PRoSaARu), Gerència Territorial de la Catalunya Central, Catalan Health Institute, Carrer Pica d'Estats, 36, 08272, Sant Fruitós de Bages, Barcelona, Spain.
Glòria Sauch ValmañaHealth Promotion in Rural Areas Research Group (PRoSaARu), Gerència Territorial de la Catalunya Central, Catalan Health Institute, Carrer Pica d'Estats, 36, 08272, Sant Fruitós de Bages, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA teledermatology pilot scheme was first conducted in the town of Manresa (Barcelona) in the summer of 2010. The clinical success of the scheme prompted its expansion to the whole county of Bages in 2011 and to the adjacent county of Berguedà in 2012. In the teledermatology service, primary care physicians take a photograph of the lesion and attach it to the electronic medical records of the patient together with a brief clinical account. In the referral hospital, the consultant dermatologists access the electronic medical records, review the images and suggest a treatment or action plan. Next, the primary care physicians review these recommendations and call the patient to report the results. This whole process is usually completed in less than 5 working days.

methodsA cost saving analysis comparing teledermatology with dermatology face-to-face visits was performed in the county of Bages measuring the cost difference attributable to visits saved.

resultsThe estimated added costs of the teledermatology service during 2016 amounted to 61,870 €. For the same period, the estimated costs of traditional outpatient dermatology services were of 113,034 €. This represents savings of 51,164 € per year. After subtraction of societal costs, the savings equal 10,350 € per year.

conclusionsUsing a teledermatology service instead of face-to-face dermatology consultations could save 51,164 € per year (11.4 € per patient visited) in the county of Bages. Societal savings are the most significant.

Indexed as

Remote ConsultationCost-Benefit AnalysisCost SavingsDermatologyElectronic Health RecordsHumansPhysicians, Primary CarePilot ProjectsReferral and ConsultationSpainCost savings analysisPrimary careTeledermatologyTelehealthTelemedicine

Identifiers

PMID30134891
PMCPMC6103877

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.