Publikasi Scopus 2024 per tanggal 30 Juni 2024 (499 artikel)

Adella F.J.; Ammah H.; Siregar G.O.; Harianja M.; Sundari E.S.; Sagara R.; Tarino N.; Hamers R.L.; Bøgh C.; Soebono H.; Grijsen M.L.
Adella, Fidelis J. (57201662508); Ammah, Hapu (58876488900); Siregar, Gladys O. (58876649500); Harianja, Maria (58876435800); Sundari, Evivana S. (58876435900); Sagara, Rahmat (57372907300); Tarino, Nicolas (57213687515); Hamers, Raph L. (23034345900); Bøgh, Claus (6602120205); Soebono, Hardyanto (6508242918); Grijsen, Marlous L. (25225113700)
57201662508; 58876488900; 58876649500; 58876435800; 58876435900; 57372907300; 57213687515; 23034345900; 6602120205; 6508242918; 25225113700
Teledermatology to Improve Access to and Quality of Skin Care in Eastern Indonesia
2024
American Journal of Tropical Medicine and Hygiene
110
2
364
369
5
1
Sumba Foundation, Sumba, Indonesia; Department of Dermatology and Venereology, Siloam Hospital, Kupang, Indonesia; Oxford University Clinical Research Unit Indonesia, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, United Kingdom; Department of Dermatology and Venereology, Gadjah Mada University, Yogyakarta, Indonesia
Adella F.J., Sumba Foundation, Sumba, Indonesia; Ammah H., Sumba Foundation, Sumba, Indonesia; Siregar G.O., Sumba Foundation, Sumba, Indonesia; Harianja M., Sumba Foundation, Sumba, Indonesia; Sundari E.S., Department of Dermatology and Venereology, Siloam Hospital, Kupang, Indonesia; Sagara R., Oxford University Clinical Research Unit Indonesia, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia; Tarino N., Oxford University Clinical Research Unit Indonesia, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia; Hamers R.L., Oxford University Clinical Research Unit Indonesia, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia, Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, United Kingdom; Bøgh C., Sumba Foundation, Sumba, Indonesia; Soebono H., Department of Dermatology and Venereology, Gadjah Mada University, Yogyakarta, Indonesia; Grijsen M.L., Oxford University Clinical Research Unit Indonesia, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia, Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, United Kingdom
Skin diseases are a major public health concern in Indonesia, although access to specialized care in remote areas is limited. We initiated a low-cost teledermatology service in Sumba, a remote island in eastern Indonesia. Eighteen healthcare workers (HCWs) at five primary healthcare centers received training to manage common skin diseases and submit clinical cases beyond their expertise to an online platform. Submitted cases were reviewed by at least one dermatologist. Diagnostic agreement between HCWs and dermatologists was calculated. The HCWs participated in a satisfaction survey 2 years after project initiation. Since October 2020, of 10,384 patients presenting with skin complaints in a 24-month period, 307 (3%) were submitted for a teledermatology consultation. The most frequent skin diseases were infections and infestations (n 5 162, 52.8%) and eczematous (85, 27.7%) and inflammatory (17, 5.5%) conditions. Fifty-three patients (17.3%) were diagnosed with a neglected tropical skin disease, including leprosy and scabies. Dermatologist advice was provided within a median of 50 minutes (interquartile range, 18–255 minutes), with 91.9% of consultations occurring within 24 hours. The diagnostic agreement level between HCWs and dermatologists significantly improved over time, from 46.9% in the first 6-month period (k 5 0.45; 95% CI, 0.37–0.54) to 77.2% in the last 6-month period (k 5 0.76; 95% CI, 0.67–0.86; global P, 0.001). The HCWs reported that the teledermatology service was extremely/very useful in supporting daily practice (100%) and improved their knowledge of skin diseases tremendously/a lot (92%). Teledermatology can improve accessibility and quality of skin services in medically underserved areas, providing opportunities for scalability and knowledge transfer to frontline HCWs. Copyright © 2024 The author(s)
Dermatology; Humans; Indonesia; Skin Care; Skin Diseases; Telemedicine; adolescent; adult; Article; child; clinical practice; consultation; controlled study; dermatitis; dermatologist; eczema; female; health care access; health care quality; health service; health survey; human; Indonesia; infestation; leprosy; major clinical study; male; satisfaction; scabies; skin care; skin disease; skin infection; teledermatology; tropical disease; dermatology; epidemiology; Indonesia; skin care; skin disease; telemedicine
DermLink; International League of Dermatological Societies
Funding text 1: Financial support: This project was financially supported by an International League of Dermatological Societies (ILDS) DermLink Grant.; Funding text 2: Design. The teledermatology service, launched on October 8, 2020, is an ongoing collaboration between Universitas Gadjah Mada in Yogyakarta; the Sumba Foundation, a privately funded, nonprofit, nongovernment healthcare provider in
American Society of Tropical Medicine and Hygiene
00029637
38169455
Article
Q1
1042
3942