Uso de telemedicina: caso de estudio Teleconsulta de San Quintín a Tijuana Baja California, Mx


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En el entorno de la salud los médicos interactúan entre sí para realizar diagnósticos, estar en comunicación y conocer el historial de los pacientes, las Tecnologías de Información y Comunicaciones (TIC) se han convertido en herramientas clave para el acceso a la información y la comunicación.  Un sistema de Telesalud requiere por lo menos una estación central donde se encuentre el médico responsable de proporcionar el servició de atención médica y una o varias estaciones remotas, donde se localizará el paciente; en ambas estaciones contaran con algunos elementos como son: Equipo electrónico, telecomunicaciones e informática. El uso de la telemedicina permite una comunicación eficiente entre médicos y proveedores de salud en el campo, brindando la oportunidad al paciente de recibir atención médica supervisada en tiempo real y optimizando los recursos materiales y humanos de las instituciones de salud.  La Telemedicina promete impactar significativamente algunos de los problemas más desafiantes de nuestro actual sistema sanitario: Equidad en términos de la atención médica,  Reducción de costos de atención, Reducción de tiempos para obtener consulta por médicos especialistas, Atención oportuna a zonas que se encuentran limitadas o de acceso difícil, y Atención a enfermos crónicos desde su casa o en condiciones de escasa movilidad o durante su trabajo cotidiano, Supervisión por parte de un médico de urgencias, de la atención pre hospitalaria proporcionada en la escena del incidente por personal paramédico.

Dentro de la Telemedicina se incorpora el termino Teleconsulta la cual permite atención en tiempo real al paciente, personalizada, exclusiva y confidencial, igual que cuando acudimos presencialmente a la consulta del médico, evitando gastos y desplazamientos innecesarios por parte del paciente. En este caso se utilizó la plataforma TELMEX para realizar Teleconsulta de la ciudad de Tijuana a San Quintín que es un área rural del Estado de Baja California. El estudio se realizó en un lapso de 15 días en una caravana de salud, en San Quintín, con un grupo integrado por cuatro estudiantes y dos tutores de la Facultad de Medicina y Psicología, Facultad de Ciencias Químicas e Ingeniería, así como la Facultad de Odontología de la Universidad Autónoma de Baja California. En Tijuana se encontraron cinco especialistas del área de Genética, Neurología, Oftalmología, Dermatología y Ortopedia, el grupo se integró de tal forma que se mantuvo la igualdad en los roles. Con el apoyo de la plataforma TELMEX se realizaron 20 teleconsultas dentro de las cuales se identificaron tres casos relevantes,  el primero consistió en un Hemangioma Mixto, el segundo una Criptorquidia secundaria a hidrocele comunicante  y el tercero una Parálisis Cerebral Infantil.

Podemos concluir que el uso de la Teleconsulta es de vital importancia para optimizar tiempo, costo y transporte por parte de los pacientes, así como para los médicos e instituciones. Los estudiantes lograron comunicarse mediante la plataforma TELEMEDX con los médicos especialistas para tener una segunda opinión respecto a los casos que consideraron con más relevancia. Lo que permitió optimizar costos de traslado de los pacientes y tiempo.

Dra. Cristián Castillo Olea

Docente-Investigadora en la Facultad de Medicina y Psicología en la Universidad Autónoma de Baja California, Mx.



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