Teledermatology. Review of 917 Teleconsults

Martínez-García, S.; Boz-González, J. del; Martin-Gonzalez, Térésa; Samaniego-González, E.; Crespo-Erchiga, Vicente

doi:10.1016/s1578-2190(07)70455-9

Cited by 8 publications

(6 citation statements)

References 22 publications

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“…Personal digital assistants can be used in teledermatology with good results 54,58 . Cutaneous malignancies can be screened using MT 38 …”

Section: Data Transmission Medium: the Internet Wi‐fi And Wi‐maxmentioning

confidence: 99%

“…observed that poor image quality and lack of referral proforma data contribute for poor agreement 21 . A recent study has confirmed that digital photography provides high image quality 38 . Advances in digital imaging, optics and Internet solutions have overcome technical limitations of digital photography, resulting in enhanced patient and physician satisfaction 5 …”

Section: Introductionmentioning

confidence: 99%

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Classification and design of teledermatology practice: What dermatoses? Which technology to apply?

Kanthraj¹

2009

Acad Dermatol Venereol

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Dermatologists are mostly confined to urban regions and rural population is deprived of specialist care. Teledermatology Practice (TDP) is a solution to overcome this global problem. Tools for TDP includes video conference, store and forward, hybrid, mobile, satellite communication, integration model, nurse-led teledermatology, teledermatology focusing on difficult-to-manage cases, teledermoscopy, and teledermatopathology with combined applications. This article reviews the feasibility studies focusing teledermatology tools and analyses the possible options in designing TDP. Categorizing dermatoses for TDP depends on the purpose and types of technology. The dermatoses presenting from a remote geographic regions requires any of the following approaches (i) only TDP, (b) initial TDP followed by face-to-face, (iii) initial face-to-face followed by TDP and (iv) only face-to-face examination. The technology should suit the dermatoses, meet the purpose, be cost-effective and provide better management with follow-up care. We recommend store and forward as a basic TDP model as most dermatoses are diagnosed and follow-up care is delivered. Leprosy, pigmented skin lesions, leg ulcers, HIV and endemic dermatoses require screening and triage services using mobile teledermatology. Counselling and education require videoconference. Rural dermatology's camps require satellite communication mounted on a vehicle. Objective assessment (vitiligo and leg ulcer) after treatment requires integration model at a tertiary centre. Difficult-to-manage cases require second opinion using hybrid/store and forward TDP. Lower rural centre are provided with mobile/ store and forward teledermatology services. Selected or major community centre should be equipped with hybrid teledermatology and linked to a tertiary centre. This process helps healthcare administration to plan a TDP to cover all dermatoses, utilizing the available health care professional (HCP) and technology with minimum budget investment.

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“…Personal digital assistants can be used in teledermatology with good results 54,58 . Cutaneous malignancies can be screened using MT 38 …”

Section: Data Transmission Medium: the Internet Wi‐fi And Wi‐maxmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Classification and design of teledermatology practice: What dermatoses? Which technology to apply?

Kanthraj¹

2009

Acad Dermatol Venereol

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“…In many countries, dermatological consultations traditionally begin with an examination and the clinical history is secondary to this. The second is that in our sample, as in other studies, tumours constituted 50% of cases, and for tumours, with just a few pieces of clinical data (progression time and site) and a good image for assessment, a diagnosis can be reached 22,23 . There may possibly be a subgroup of patients for whom diagnosis is more complex, in which case interaction with audio might improve diagnostic reliability.…”

Section: Discussionmentioning

confidence: 69%

Randomized controlled trial comparing store-and-forward teledermatology alone and in combination with web-camera videoconferencing

Romero

Sánchez

García

et al. 2010

Clinical and Experimental Dermatology

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“…The number of patients seen in follow-up is much lower than previous reports, and this may be due, in large part, to the statewide nature of the network. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Patients who received a teleconsultation remote from the university could have the ability to seek specialty care from providers and clinics closer to their home. Another possibility for the low in-person university-based follow-up rates may be due to referring clinicians using the network to receive advice rather than as a mechanism of actual referral of the patients.…”

Section: Discussionmentioning

confidence: 99%

Users and Nonusers of University-Based Dermatology Services Following a Teledermatology Encounter: A Retrospective Descriptive Analysis

Edison

Chance²,

Martin³

et al. 2011

Telemedicine and e-Health

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Teledermatology. Review of 917 Teleconsults

Cited by 8 publications

References 22 publications

Classification and design of teledermatology practice: What dermatoses? Which technology to apply?

Classification and design of teledermatology practice: What dermatoses? Which technology to apply?

Randomized controlled trial comparing store-and-forward teledermatology alone and in combination with web-camera videoconferencing

Users and Nonusers of University-Based Dermatology Services Following a Teledermatology Encounter: A Retrospective Descriptive Analysis

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