000133414 001__ 133414
000133414 005__ 20240412150654.0
000133414 0247_ $$2doi$$a10.3390/healthcare12060659
000133414 0248_ $$2sideral$$a138076
000133414 037__ $$aART-2024-138076
000133414 041__ $$aeng
000133414 100__ $$aMarco-Ibáñez, Almudena
000133414 245__ $$aVirtual consultation in Dermatology: access inequalities according to socioeconomic characteristics and the place of residence
000133414 260__ $$c2024
000133414 5060_ $$aAccess copy available to the general public$$fUnrestricted
000133414 5203_ $$aVirtual consultation has been implemented as a tool to improve the cooperation and coordination between primary care and other specialties. However, in its use in dermatology, inequities have been described. The aim of this study was to identify individual and geographical factors affecting the likelihood of accessing this resource. We conducted a cross-sectional study. The study population was individuals living in Aragón, a region in the north-east of Spain, who were users of the Aragon Health Service in 2021. To explore the differences in individual and area characteristics, between patients with virtual and non-virtual dermatology consultation, we performed bivariate analyses. To analyse the use of virtual consultation in dermatology, a multilevel methodology stratified by sex was developed. We analysed 39,174 dermatology visits, with 16,910 being virtual (43.17%). The rates of virtual consultation were higher in urban areas and the most affluent areas, for older persons, chronic complex patients and people with more advantageous socioeconomic positions. The best multilevel model conducted showed inequalities by socioeconomic position and area of residence. There are individual and area inequalities in the use of teledermatology. As this tool should improve equity of access, teledermatology interventions must address and adapt to the needs of the local patient population.
000133414 536__ $$9info:eu-repo/grantAgreement/ES/DGA-GRISSA/B09-23R
000133414 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000133414 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000133414 700__ $$0(orcid)0000-0001-9714-8105$$aAibar-Remón, Carlos$$uUniversidad de Zaragoza
000133414 700__ $$aGamba-Cabezas, Adriana
000133414 700__ $$0(orcid)0000-0003-1647-3462$$aMaldonado, Lina$$uUniversidad de Zaragoza
000133414 700__ $$0(orcid)0000-0001-7293-701X$$aAguilar-Palacio, Isabel$$uUniversidad de Zaragoza
000133414 7102_ $$14014$$2623$$aUniversidad de Zaragoza$$bDpto. Economía Aplicada$$cÁrea Métodos Cuant.Econ.Empres
000133414 7102_ $$11011$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Medic.Prevent.Salud Públ.
000133414 773__ $$g12, 6 (2024), 14 pp.$$pHealthcare (Basel)$$tHealthcare (Switzerland)$$x2227-9032
000133414 8564_ $$s1111725$$uhttps://zaguan.unizar.es/record/133414/files/texto_completo.pdf$$yVersión publicada
000133414 8564_ $$s2711566$$uhttps://zaguan.unizar.es/record/133414/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000133414 909CO $$ooai:zaguan.unizar.es:133414$$particulos$$pdriver
000133414 951__ $$a2024-04-12-13:59:50
000133414 980__ $$aARTICLE