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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In this issue Gonz&#225;lez Coloma et al<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> analyze the use of teledermatology as a solution to the problem of access to specialist care in the province of Palena&#44; Chile&#44; where primary care clinics attend a large number of patients seeking care for skin conditions&#46; The province&#39;s population is widely dispersed over a large geographic area&#44; and access to a dermatologist through the public health care system is difficult because specialists are concentrated in centrally located cities&#46; The authors report their cross-sectional study of the use of a teledermatology system&#44; in particular the level of agreement between the diagnoses at the primary care clinics and at the referral hospital where the dermatologist was available&#46; Agreement was moderate&#44; somewhat lower than in similar studies&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> The significant difference between the rates of specialist and nonspecialist diagnoses of inflammatory skin diseases suggest a need for better training of primary care physicians in this respect&#46; The authors also saw a very large reduction in response time &#40;until a specialist diagnosis was reached&#41; when a dermatologist was contracted at the referral hospital as opposed to attending cases there on a part-time basis&#46; The results suggest a clear need for specialist staffing&#46; Response time was also shorter when direct physical examination by the dermatologist at the referral center was not required&#46; This study shows how teledermatology can resolve a significant proportion of the skin conditions seen by primary care practitioners&#44; reducing costs and time until diagnosis for patients who reside in isolated rural areas that lack specialists&#46;</p></span>"
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