Digital pathology in Latin America

Surgical and Experimental Pathology

Review

Danny Soria-Céspedes¹  Marcela Schultz²  Ana Maria Vanegas Monroy³  Fernando Augusto Soares⁴  Pablo Zoroquiain⁵  Alfredo Cancio⁶  Hernán García-Rivello⁶  Jorge Ugalde Puyol⁷  Franco Doimi García⁸  Nicolás Vivar Díaz⁹ 

[1]Centro Médico ABC, Ciudad de México, México

[2]Clínica Alemana de Santiago, Santiago, Chile

[3]Clínica Colsanitas – INPAC, Bogotá, Colombia

[4]Faculdade de Odontologia, Universidade de São Paulo, São Paulo, Brazil

[5]Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile

[6]Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

[7]Hospital Santa Inés, Cuenca, Ecuador

[8]Patologia Oncologica – Auna, Lima, Peru

[9]Synlab, Quito, Ecuador

关键词: Digital pathology;    Informatics;    Latin America;   

DOI  :  10.1186/s42047-023-00135-z

 received in 2022-08-11, accepted in 2023-06-26,  发布年份 2023

来源: Springer

【 摘 要 】

Digital pathology (DP) adoption in Latin America has expanded slower than in developed regions, probably due to many barriers not seen in the latter areas. This article aims to present the current scenario in the region, highlighting barriers and possible solutions to encourage its adoption in Latin American countries.Methods An expert panel of 9 Latin American medical pathologists and 1 information technology specialist participated in an online modified Delphi panel, utilizing a third-party platform (iAdvise, Within3, USA). Thirteen pre-prepared questions were answered interactively.Results Experts' observations confirm the paucity of labs in the region that utilize digital pathology technology. The panel ranked obtaining second opinions and presenting images remotely as the main benefit of a digital pathology system, although many others were cited as well. Cost of implantation was the main barrier mentioned by the experts. Payers' and decision makers' lack of awareness of benefits ranked second as a barrier to DP implementation. Internet infrastructure was also mentioned as a concerning issue in the region. Besides diagnostic pathology services, proposed revenue incomes included commercialization of digital services to other institutions, loan agreements of equipment and software, and organizing courses for pathologists or residents. The need for alternative reimbursement methods for diagnostic services was also mentioned. A regional network of collaborating institutions was also suggested as a viable solution to reach distant areas and laboratories lacking the technology.Conclusions The benefits of DP are clear to the expert panel, but cost and lack of awareness of its benefit may be hampering its widespread adoption in Latin America.

【 授权许可】

CC BY   
© Sociedade Brasileira de Patologia 2023

【 图 表 】

13690_2023_1151_Article_IEq13.gif