{
  "abstract": "Introduction: Dermatological diseases impose a substantial health burden and contribute to health inequalities across Latin America. However, data regarding regional public policies has not been systematically synthesized, limiting the identification of approaches, gaps, and best practices.\n\nObjective: To conduct a systematic review aimed at synthesizing the available literature and documents on public policy actions, recommendations, and solutions related to dermatological diseases in Latin America.\n\nMethods: Electronic databases and official government websites were searched. Documents published in Spanish, English, and Portuguese between 2015 and 2026 were included. When applicable, methodological quality was assessed according to study design. Data were narratively synthesized according to the identified groups of dermatological conditions. Programs or policies, implementation characteristics, and reported outcomes were described.\n\nResults: After screening 6,533 references identified through database searches, 74 scientific studies were included; additionally, the grey literature search identified 140 eligible documents. The analyzed documents on public policy solutions primarily focused on infectious diseases and neglected tropical diseases, particularly leprosy (15.4%) and leishmaniasis (11.2%), with most documents originating from Brazil (24.3%). The main actions identified included vaccination programs, early detection and transmission control strategies, strengthening of health surveillance and information systems, diagnostic decentralization, teledermatology, workforce training, implementation of guidelines and protocols, and community-based and intersectoral interventions. Implementation faced structural barriers such as territorial inequalities, limited problem-solving capacity at the primary care level, shortage of specialists, and weaknesses in health information systems. Implementation could potentially be facilitated through the integration of technological innovation, strengthening of primary care, community participation, and intersectoral approaches incorporating the social determinants of health.\n\nConclusion: In Latin America, public policies in dermatology have primarily focused on disease control and reducing access gaps, with greater emphasis on infectious and neglected tropical diseases. The persistence of structural inequalities and the limited availability of data onchronic dermatological conditions highlight the need for more comprehensive, context-specific, and sustainable responses aimed at strengthening health systems and reducing inequities in dermatological care across the region.\n\nSystematic review registration: CRD420261322767 https://www.crd.york.ac.uk/PROSPERO/view/CRD420261322767",
  "abstract_shown": true,
  "affiliations": [
    "Hospital Universitario Centro Dermatológico Federico Lleras Acosta, Bogotá, Colombia.",
    "Centro de Evidencia e Implementación (CEI-evidence), Bogotá, Colombia.",
    "Faculty of medicine, Universidad El Bosque, Bogotá, Colombia."
  ],
  "article_type": "systematic review",
  "arxiv": null,
  "author_total": 11,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Kelly Estrada-Orozco"
    },
    {
      "affs": [
        1
      ],
      "name": "Lina María Rincón-Martínez"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Nathalie Ospina-Lizarazo"
    },
    {
      "affs": [
        1
      ],
      "name": "Jesús Utria-Munive"
    },
    {
      "affs": [
        0
      ],
      "name": "Elisabet Gutiérrez-Barbosa"
    },
    {
      "affs": [
        0
      ],
      "name": "María Camila Londoño-Restrepo"
    },
    {
      "affs": [
        2
      ],
      "name": "Genesis Andrea Bernier-Brito"
    },
    {
      "affs": [
        2
      ],
      "name": "Laura Marcela Garces-Perea",
      "orcid": "0009-0004-9941-412X"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Lorena Mesa-Melgarejo"
    },
    {
      "affs": [
        0
      ],
      "name": "Lorena Herrera-Aranguren"
    },
    {
      "affs": [
        0
      ],
      "name": "Elin Xiomara Perea"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0j4t6vm6e2n0w.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1929195",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13724427/?tool=EBI",
  "id": "0j4t6vm6e2n0w",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1929195/full",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Systematic Review"
    ],
    [
      "openalex",
      "3600|Healthcare Systems and Practices"
    ]
  ],
  "openalex": "W7222952960",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13724427/pdf/?tool=EBI",
  "pmcid": "PMC13724427",
  "pmid": "42973487",
  "published": "2026-10-19",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/0j4t6vm6e2n0w.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:24Z",
      "native_id": "10.3389/fpubh.2026.1929195",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1929195/full"
    },
    {
      "first_seen": "2026-11-03T15:20:51Z",
      "native_id": "PMC:PMC13724427",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13724427"
    },
    {
      "first_seen": "2026-11-04T12:23:00Z",
      "native_id": "PMC13724427",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fpubh.2026.1929195"
    },
    {
      "first_seen": "2026-11-04T15:20:48Z",
      "native_id": "MED:42973487",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42973487"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:2296-2565",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Actions, recommendations, and public policy solutions for the management of dermatological diseases in Latin America: a systematic review",
  "title_text": "Actions, recommendations, and public policy solutions for the management of dermatological diseases in Latin America: a systematic review",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:20:54Z",
  "url": "https://research.draconitic.com/paper/0j4t6vm6e2n0w",
  "venue": "Frontiers in Public Health",
  "versions": []
}