Evidence map›Paper›PMID 40151789›Full record

ArticleTelemedicine reports2025

Educational and Clinical Applications of a Web- and Android-Based Telemedicine Platform to Expand Rural Health Care in Ecuador.

Leonel Vasquez-Cevallos, Andrew Mitchell, Susana Muñoz-Hernández, Ángel Herranz-Nieva, Ana Garcia-Mingo, Paula De Corral-San Martin, Mijail Castro, Paul E D Soto-Rodriguez, Franklin Parrales-Bravo, Rosangela Caicedo-Quiroz

Abstract read
In one paragraph

Article in Telemedicine reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Leonel Vasquez-CevallosSIMUEES Simulation Clinic, Universidad Espíritu Santo (UEES), Samborondón, Ecuador.ORCID https://orcid.org/0000-0002-9332-0825
Andrew MitchellETSI Informáticos, Universidad Politécnica de Madrid, Madrid, Spain.
Susana Muñoz-HernándezETSI Informáticos, Universidad Politécnica de Madrid, Madrid, Spain.
Ángel Herranz-NievaETSI Informáticos, Universidad Politécnica de Madrid, Madrid, Spain.
Ana Garcia-MingoAsociación Amigos del Cayapas-Cayapa Pichulla Kumani, Madrid, Spain.
Paula De Corral-San MartinAsociación Amigos del Cayapas-Cayapa Pichulla Kumani, Madrid, Spain.
Mijail CastroAsociación Amigos del Cayapas-Cayapa Pichulla Kumani, Madrid, Spain.
Paul E D Soto-RodriguezDepartamento de Física, Instituto de Estudios Avanzados IUDEA, Universidad de La Laguna, Tenerife, Spain.
Franklin Parrales-BravoSIMUEES Simulation Clinic, Universidad Espíritu Santo (UEES), Samborondón, Ecuador.
Rosangela Caicedo-QuirozUniversidad Bolivariana del Ecuador, Durán, Ecuador.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The Web- and Android-based Telemedicine Platform (WATP) is a digital tool designed to facilitate remote medical consultation and data exchange through mobile devices. It addresses health care gaps in underserved rural regions, such as Ecuador, where access to specialized care is limited. This study validated the platform in the Ecuadorian context, focusing on its use in rural clinical settings and its potential integration into academic and health care institutions as a scalable solution for nationwide implementation. Materials and Methods: A mixed-methods approach was used, including technical, clinical, and educational validation. Technical validation involved 10 general practitioners and five specialists who evaluated task completion times, error rates, and user satisfaction. Clinical validation analyzed three teleconsultations, one pediatric and two dermatological, conducted between October 2022 and December 2023, with a focus on diagnostic precision and case clarity. The educational validation involved 17 final-year medical students, 2 faculty members, and 2 observers in a gynecology course in a simulation center to evaluate its impact on learning outcomes. Results: Technical validation demonstrated low error rates, high user satisfaction, and average task completion times of 5 min for general practitioners and 3 min for specialists. Clinical validation achieved 100% diagnostic accuracy through cross-validation with five independent specialists. Educational validation showed significant improvements in the students' diagnostic skills and clinical case documentation abilities. Conclusion: This study highlights the potential of WATP to improve health care access and enhance diagnostic skills among medical students, offering a scalable solution tailored to rural challenges in Ecuador.

Indexed as

clinical validationmedical education validationrural health careteleconsultationtelemedicineWeb- and Android-based Telemedicine Platform

Identifiers

PMID40151789
PMCPMC11947644

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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.