Accuracy of dermatologic diagnosis by television

Murphy, Raymond L. H.

doi:10.1001/archderm.105.6.833

Cited by 22 publications

(13 citation statements)

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“…Telemedicine technology can also have positive effects in reversing conditions that had been poorly controlled for a number of years prior to teleconsultation (Perednia et al 1998). Primary care physicians' diagnoses made from color slides compared to dermatologists from black and white televised image showed that the dermatologists were able to diagnose the images with greater accuracy than primary care physicians (Murphy et al 1972).…”

Section: Teledermatologymentioning

confidence: 97%

“…But it is useful to know that 'easy' and 'hard' clinical cases can be reliably differentiated by a clinician moderately familiar with the clinical appearance of the diagnoses in question (Perednia, 1995b, II). However, we know that primary care physicians' diagnoses made from colour slides compared to dermatologists from black and white images showed that the dermatologists were able to diagnose the images with greater accuracy than primary care physicians (Murphy et al 1972). An interesting new question is what is the best way to improve the quality of general practitioner services': education, teleconferencing or specialists visits.…”

Section: Medical Factorsmentioning

confidence: 99%

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Medical applications and technical standardization of teleconferencing

Lamminen¹

2002

Acta Ophthalmologica Scandinavica

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Section: Teledermatologymentioning

confidence: 97%

Section: Medical Factorsmentioning

confidence: 99%

Medical applications and technical standardization of teleconferencing

Lamminen¹

2002

Acta Ophthalmologica Scandinavica

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“…A frequently cited early telemedicine system linked a nurse practitioner located at the Logan Airport with physicians at the Massachusetts General Hospital in Boston, using a two-way, audio/video, slow-scan microwave system to transmit x-ray images [ 129 ]. Moore [ 128 ] described the Cambridge Telemedicine Project, which employed audio-visual links to support consultations from physicians at Cambridge Hospital to nurse practitioners at three satellite neighborhood health clinics.…”

Section: Telemedicine and Mobile Health Carementioning

confidence: 99%

Outpatient Information Systems (OISs) for Ambulatory Care

2015

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Of the relatively few outpatient information systems (OISs) operational in the United States in the 1960s, most were in ambulatory clinics that shared time on mainframe computers with affi liated hospitals. In the 1970s some larger physician practices launched standalone OISs on minicomputers. With the advent of microcomputers in the 1980s, OISs began to diffuse rapidly, some as federally funded pilots. By the end of the 1980s, about 80 % of physicians had some type of computer in their offi ces, primarily for administrative and business functions; computer-based patient records and other OIS clinical applications were still infrequently used. When admitting a patient to the hospital, few physicians could transfer data from their OIS to the hospital information system. For the most part, lack of standardization made the interchange of data diffi cult or impossible. However, three OISs achieved notable success in the 1970s and 1980s. Each was developed in an academic environment and led by a committed physician; each developed a "chartless" record, continuously updated and stored in the computer; two of the three had linkages to large affi liated hospitals. Yet they were the exception. Few evaluations of OISs were convincing as to their benefi ts. Low physician adoption of OISs suggested computer-based records were not considered more effi cient for offi ce practice than paper-based records. Expectations for the 1990s were that OISs would change to support electronic claims reporting and quality of care monitoring. In the 2010s, federal funding became available for physicians who purchased electronic health record systems complying with "Meaningful Use." Keywords

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“…Desde allí las imágenes eran transmitidas a través de un equipo de televisión hasta el hospital general de Massachussets, en el que un médico especialista en radiología las visualizaba y emitía el resultado telefónicamente [10]. Este procedimiento se utilizó en otras especialidades médicas, como la dermatología y la cardiología [11]. En ese mismo año se puso en marcha una segunda experiencia a través del programa INTERACT, llevado a cabo por el Darmouth Medical College y la Universidad de Vermont, que ofrecía servicios de formación médica en diferentes áreas rurales [12].…”

Section: Recorrido Histórico De La Telemedicinaunclassified