Teleimagen: I impact in the efficiency of the imageology services in the community context

Abstract

Introduction: Teleimaging, as a branch of telemedicine, allows the transmission of medical images via telecommunications networks, improving the accessibility and efficiency of imaging services. However, its implementation in community settings faces barriers such as the digital divide, limited interoperability, and training needs. Materials and methods: This exploratory qualitative study examined the Tarifa Parish (Samborodón, Guayas). Surveys were administered to 20 students of Radiology and Imaging and 62 community members. Semi-structured interviews were conducted with 14 healthcare professionals involved in imaging, and a documentary analysis was performed on the National Policy for Digital Transformation of the Health Sector 2024-2034 and the Digital Health Agenda 2023-2027. Results: 78.5% of the professionals identified barriers associated with insufficient availability of technicians and equipment. 45% of the students rated the impact of teleimaging in the community setting as "poor." Only 19.3% of community members possess knowledge of digital tools for accessing imaging services, although 67.7% have access to devices. Areas for improvement were identified: hospital infrastructure, expansion of connectivity, community digital literacy, promotion of telemedicine, and professional training in clinical technology, cybersecurity, and artificial intelligence in health. Discussion: The findings are consistent with previous studies that identify a shortage of trained personnel, limited infrastructure, and poor maintenance as the main barriers, highlighting that teleradiology and local training improve accessibility and quality. Conclusions: Teleimaging has a positive impact on the efficiency of community imaging services, but it goes beyond the technical dimension; it requires integrated interventions in infrastructure, connectivity, digital literacy, and professional training.