{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:29:58Z","timestamp":1753892998149,"version":"3.41.2"},"reference-count":54,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Foundation for Science and Technology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Neglected tropical diseases (NTDs) remain major public health challenge in low- and middle-income countries (LMICs), especially in rural and underserved regions. Although telemedicine has expanded globally, evidence on its implementation for individual clinical care of NTDs remains scarce. This pilot implementation study aimed to assess the feasibility and acceptability of synchronous telemedicine consultations for patients with Chagas disease (CD) and American Cutaneous Leishmaniasis (ACL) in a national reference hospital in Brazil.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a mixed-methods implementation study using the Design Science Research Methodology (DSRM). The context analysis involved structured surveys with 31 health professionals and semi-structured interviews with two local managers. Patients diagnosed with CD or ACL were recruited from August to October 2024. Teleconsultations were performed via WhatsApp video calls by four specialists. Patient satisfaction was evaluated using structured questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Of the 46 patients recruited, 38 (82.6%) completed teleconsultations. Most were older adults and had no prior telehealth experience. Despite low digital literacy and education levels, 63.2% (24\/38) completed the teleconsultation without assistance. High levels of satisfaction were reported: 97.4% (37\/38) were satisfied and would attend future virtual visits. Participants reported the reduced travel burden and improved access to care. No major technical issues were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Synchronous telemedicine via a low-cost, widely available platform was feasible and well-accepted for clinical follow-up of CD and ACL in a Brazilian public hospital. This approach may help reduce access barriers to specialized care for NTDs. Further research should evaluate clinical outcomes and cost-effectiveness in LMIC settings.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1616368","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T13:53:47Z","timestamp":1750946027000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Telemedicine in the clinical care of Chagas disease and American cutaneous leishmaniasis: pilot study in a public referral hospital in Brazil"],"prefix":"10.3389","volume":"13","author":[{"given":"Fernanda Gon\u00e7alves Ferreira","family":"Salvador","sequence":"first","affiliation":[]},{"given":"Liliane F\u00e1tima A.","family":"Oliveira","sequence":"additional","affiliation":[]},{"given":"Maria In\u00eas Fernandes","family":"Pimentel","sequence":"additional","affiliation":[]},{"given":"Marcelo Rosandiski","family":"Lyra","sequence":"additional","affiliation":[]},{"given":"Alejandro Marcel","family":"Hasslocher-Moreno","sequence":"additional","affiliation":[]},{"given":"Marcelo Teixeira","family":"Holanda","sequence":"additional","affiliation":[]},{"given":"Margareth Catoia","family":"Varela","sequence":"additional","affiliation":[]},{"given":"Henrique","family":"Silveira","sequence":"additional","affiliation":[]},{"given":"Cl\u00e1udia Maria","family":"Valete","sequence":"additional","affiliation":[]}],"member":"1965","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"volume-title":"Ending the neglect to attain the sustainable development goals: A road map for neglected tropical diseases 2021\u20132030","year":"2021","key":"ref1"},{"volume-title":"Global report on neglected tropical diseases 2023","year":"2023","key":"ref2"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1016\/S0140-6736(09)61422-7","article-title":"Socioeconomic aspects of neglected tropical diseases","volume":"375","author":"Conteh","year":"2010","journal-title":"Lancet"},{"volume-title":"Disease elimination initiative: A policy for an integrated sustainable approach to communicable diseases in the Americas. 57th directing council, 71st session of the regional committee of WHO for the Americas","year":"2019","key":"ref4"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1016\/S0140-6736(20)30424-4","article-title":"Telemedicine 2020 and the next decade","volume":"395","author":"Dorsey","year":"2020","journal-title":"Lancet"},{"volume-title":"Global strategy on digital health 2020\u20132025","year":"2020","key":"ref6"},{"volume-title":"Global diffusion of eHealth: Making universal health coverage achievable. 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