teledermatology
Lamel S et al, Archives of Dermatology, 148(1)
Objective
To assess the impact of live interactive teledermatology consultations on changes in diagnosis, disease management, and clinical outcomes.
Design
We conducted a retrospective analysis of 1500 patients evaluated via live interactive teledermatology between 2003 and 2005 at the University of California, Davis. We compared diagnoses and treatment plans between the referring physicians and the teledermatologists. Patients with 2 or more teledermatology visits within a 1-year period were assessed for changes in clinical outcomes.
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Published:
1 January 2012 |
Keyword(s): clinical outcomes, Diagnosis, Disease Management, Teledermatology, Telemedicine, United States
Farshidi D et al, Skinmed, 9(4)
With advancements in electronics and health informatics, telemedicine has emerged as a cost-effective tool capable of increasing care to remote regions, facilitating specialist consults, supporting self-management by patients, and sharing knowledge over great distances. In this review, the authors discuss existing telemedicine modalities, highlight examples of mobile systems documented in the literature to date, and emphasize the data supporting the feasibility of telecommunication technologies to deliver dermatology services and education remotely.
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Published:
July 2011 |
Keyword(s): Decision Support, Teledermatology, Telemedicine
van der Heijden JP et al, The British Journal of Dermatology, 2011
Background:
Teledermatology, the application of telemedicine in the field of dermatology has similar accuracy and reliability as physical dermatology. Teledermatology has been widely used in daily practice in The Netherlands since 2005 and is fully reimbursed.
Objective:
This study prospectively investigated the effect of teledermatology on efficiency, quality and costs of care when integrated in daily practice and applied following patient selection by the general practitioner.
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Published:
5 July 2011 |
Keyword(s): Costs, Efficiency, General Practitioner, Netherlands, Quality, Teledermatology, Telemedicine
Kanthraj GR. Indian Journal of Dermatology, Venereology and Leprology, 77(3)
The study and practice of dermatology care using interactive audio, visual, and data communications from a distance is called teledermatology. A teledermatology practice (TP) provides teleconsultation as well tele-education. Initially, dermatologists used videoconference. Convenience, cost-effectiveness and easy application of the practice made “store and forward” to emerge as a basic teledermatology tool. The advent of newer technologies like third generation (3G) and fourth generation (4G) mobile teledermatology (MT) and dermatologists’ interest to adopt tertiary TP to pool expert (second) opinion to address difficult-to-manage cases (DMCs) has resulted in a rapid change in TP. Online discussion groups (ODGs), author-based second opinion teledermatology (AST), or a combination of both are the types of tertiary TP.
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Published:
May 2011 |
Keyword(s): India, Teledermatology, Telemedicine, Videoconferencing
Desai B et al, The Pan African Medical Journal, 6
Teledermatology is essentially “dermatology at a distance”, using one of many communication technologies to expand the reach of a dermatologist to those in need of their specialized knowledge. Most international teledermatology is store-and-forward in nature, a method in which images are stored on a computer and then transmitted electronically to a consulting dermatologist. This system is more convenient and less costly than real-time teledermatology.
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Published:
2010 |
Keyword(s): Dermatology, Developing Countries, Teleconsultation, Teledermatology
Warshaw EM et al, Journal of the American Academy of Dermatology, 2010
Objective
We performed a systematic review of the literature addressing teledermatology: (1) diagnostic accuracy/concordance; (2) management accuracy/concordance; (3) clinical outcomes; and (4) costs.
Methods
Peer-reviewed controlled trials published in English between 1990 and 2009 were identified through MEDLINE and PubMed searches.
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Published:
29 October 2010 |
Keyword(s): clinical outcomes, Costs, diagnostic accuracy, Literature Review, Teledermatology, Telemedicine
van der Heijden JP et al, J Telemed Telecare, 2010
Tertiary teledermatology (TTD), where a general dermatologist consults a specialized dermatologist on difficult cases, is a relatively new telemedicine service. We evaluated TTD in a Dutch university hospital, where 13 general dermatologists used TTD to consult 11 specialized dermatologists and two residents at the university medical centre. We measured the avoided referrals to the university centre, the usability of the system and the user acceptance of it.
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Published:
4 October 2010 |
Keyword(s): Netherlands, Telecommunications, Teledermatology
Hu SW et al, International Journal of Dermatology, 48(12)
Background
Teledermatology utilizes telecommunication technologies for the exchange of dermatologic information across distances. In 2000, we developed the Virtual Grand Rounds in Dermatology (VGRD) as a free, user-friendly platform for dermatologists to present complex dermatologic cases to the international community for clinical feedback, consultation, and continuing education.
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Published:
December 2009 |
Keyword(s): Dermatology, Teleconsultation, Teledermatology, United States
Armstrong AW et al, Telemedicine and e-Health, 16(4)
Objective:
Store-and-forward (S&F) teledermatology has been used to increase patient access to dermatologic care. A major challenge to implementing S&F teledermatology is selecting secure and cost-saving applications for data capture and transmission. Detailed analyses and comparison of the major S&F teledermatology applications do not exist in the current peer-reviewed literature. The objectives of this study were to identify, evaluate, and compare the major S&F teledermatology applications in the United States to help referral and consultant sites select applications responsive to their needs.
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Published:
3 May 2010 |
Keyword(s): Applications, Dermatology, Implementation, Teledermatology, Telehealth, Telemedicine, United States
Chen, Tina S. et al, Journal of the American Academy of Dermatology, 62(1)
Background
Store-and-forward teledermatology is an emerging means of access for patients with skin disease lacking direct access to dermatologists.
Objectives
We sought to examine the patient demographics, diagnostic concordance, and treatment patterns in teledermatology for patients younger than 13 years.
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Published:
18 November 2009 |
Keyword(s): Diagnosis, Pediatrics, Teledermatology, Telemedicine, United States
Frühauf, Julia et al, Archives of Dermatology, 146(2)
Patient empowerment has been found to be a key factor for achieving improved health outcomes in psoriasis. Telemedicine has revolutionized some aspects of health care delivery by transforming relationships between patients and physicians, shifting the power of consultation so that patients may become more informed and assertive.
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Published:
February 2010 |
Keyword(s): Austria, Psoriasis, Teledermatology, Telemedicine
Whited, John D., Telemedicine and e-Health, 16(2)
Economic considerations are an important component in the planning and execution of a telemedicine program. The goal of this review is to familiarize readers with economic concepts relevant to the analysis of telemedicine programs. Economic perspectives, cost attribution, types of economic analysis, and commonly encountered problems will be discussed as they pertain to telemedicine. Societal perspectives, healthcare system perspectives, patient perspectives, fixed versus variable costs, labor costs, and distinctions between cost-effectiveness analyses and other types of economic analysis also will be examined.
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Published:
7 February 2010 |
Keyword(s): Economic Analysis, Teledermatology, Telemedicine, United States
Sun, Angel et al, Dermatology Online Journal, 16(1)
There is no place on earth more remote and inaccessible than Antarctica. In 2002, Raytheon Polar Services Co. (RPS) awarded The University of Texas Medical Branch (UTMB) at Galveston the contract to provide specialty medical services via telemedicine to the approximately 3,500 National Science Foundation (NSF) researchers and support personnel who rotate through Antarctica in a given year.
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Published:
15 January 2010 |
Keyword(s): Antarctica, Teledermatology, Telemedicine, United States
van der Heijden JP et al, Telemedicine and e-Health, 16(1)
Telemedicine is becoming widely used in healthcare. Dermatology, because of its visual character, is especially suitable for telemedicine applications. Most common is teledermatology between general practitioners and dermatologists (secondary teledermatology). Another form of the teledermatology process is communication among dermatologists (tertiary teledermatology). The objective of this systematic review is to give an overview of studies on tertiary teledermatology with emphasis on the categories of use. A systematic literature search on tertiary teledermatology studies used all databases of the Cochrane Library, MEDLINE (1966-November 2007) and EMBASE (1980-November 2007). Categories of use were identified for all included articles and the modalities of tertiary teledermatology were extracted, together with technology, the setting the outcome measures, and their results. The search resulted in 1,377 publications, of which 11 were included.
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Published:
11 January 2010 |
Keyword(s): e-Health, Medical Records, Systematic Review, Teledermatology, Telemedicine
Armstrong AW et al, Arch Dermatol, 145(11)
Objective
To evaluate the effectiveness of cellular telephone text messaging as a reminder tool for improving adherence to sunscreen application.
Design
We conducted a randomized, controlled trial of the effect of an electronic text-message reminder system on adherence to sunscreen application. Adherence to daily sunscreen use was evaluated using a novel electronic monitoring device.
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Published:
November 2009 |
Keyword(s): Alerts and Reminders, Messaging, Randomized Controlled Trials, SMS, Teledermatology, Telemedicine, United States
Ishioka, Priscila et al, J Telemed Telecare, 15(5)
We examined the agreement between diagnoses of pigmented skin lesions based on an in-person (face-to-face) dermatological examination and diagnoses based on the study of medical records and images transferred through the web (teledermatoscopy). Two experienced dermatologists examined and diagnosed 64 pigmented skin lesions, which had been surgically excised and undergone histopathology examination.
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Published:
July 2009 |
Keyword(s): Brazil, Teledermatology, Telediagnosis, Telemedicine
Eminovic, Nina et al, Arch Dermatol. 2009;145(5)
Objective
To determine whether teledermatologic consultations can reduce referrals to a dermatologist by general practitioners (GPs).
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Published:
1 May 2009 |
Keyword(s): Consultations, Dermatology, General Practitioner, Netherlands, Teledermatology, Telemedicine
Leonard Witkamp, Electronic Healthcare 2009
Telemedicine contributes to efficiency increase and leads to the accelerated development and use of the internet based electronic patient record. The broad use of telemedicine is hampered by rigid decision structures, slow adaptation processes and concern for its consequences.
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Published:
2009 |
Keyword(s): Health Management Practice, Netherlands, Teledermatology, Telemedicine, Virtual Institute
Moreno-Ramirez, David et al, J Telemed Telecare, 15(1)
We conducted an economic analysis of a store-and-forward teledermatology system for the routine triage of skin cancer patients. A cost-identification, cost-effectiveness and sensitivity analysis under a societal perspective was used to compare teledermatology with the conventional care alternative.
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Published:
January 2009 |
Keyword(s): Computer Communication Networks, Cost-Benefit Analysis, Dermatology, Oncology, Skin Neoplasms, Teleconsultation, Teledermatology, Triage
Janardhanan, Lavanya et al, J Telemed Telecare, 14(8)
We introduced a web-based teledermatology system, the distributed personal health information management system (DPHIMS), into a nursing home in Singapore. The introduction was conducted in two phases. Five staff nurses in Phase 1 and nine nurse aides in Phase 2 performed the data entry and uploaded digital images of the resident’s skin condition. By the end of Phase 2, there were 50 residents registered with DPHIMS. The average age of the participants was 82 years and 84% were women. There were 31 first-time referral requests registered in the system during Phase 2.
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Published:
December 2008 |
Keyword(s): Dermatology, Elderly, Electronic Health Records, Internet, Nurses, Nursing Home, Singapore, Teleconsultation, Teledermatology, Telemedicine, Web
