Teledermatology: a review

Eedy, DJ and Wootton, R (2001) Teledermatology: a review. British Journal of Dermatology, 144 4: 696-707.


Author Eedy, DJ
Wootton, R
Title Teledermatology: a review
Journal name British Journal of Dermatology   Check publisher's open access policy
ISSN 0007-0963
Publication date 2001
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1046/j.1365-2133.2001.04124.x
Volume 144
Issue 4
Start page 696
End page 707
Total pages 12
Editor Graham-Brown R A C
Place of publication United Kingdom
Publisher Blackwell Science Ltd.
Collection year 2001
Language eng
Subject C1
329999 Medical and Health Sciences not elsewhere classified
730199 Clinical health not specific to particular organs, diseases and conditions
Abstract Teledermatology holds great potential for revolutionizing the delivery of dermatology services, providing equitable service to remote areas and allowing primary care physicians to refer patients to dermatology centres of excellence at a distance. However, before its routine application asa service tool, its reliability, accuracy and cost-effectiveness need to be verified by rigorous evaluation. Teledermatology can be applied in one of two ways: it may be conducted in real-time, utilizing videoconferencing equipment, or by store-and-forward methods, when transmitted digital images or photographs are submitted with a clinical history. While there is a considerable range of reported accuracy and reliability, evidence suggests that teledermatology will become increasingly utilized and incorporated into more conventional dermatology service delivery systems. Studies to date have generally found that real-time dermatology is likely to allow greater clinical information to be obtained from the patient. This may result in fewer patients requiring conventional consultations, but it is generally more time-consuming and costly to the health service provider It is often favoured by the patient because of the instantaneous nature of the diagnosis and management regimen for the condition, and it has educational value to the primary care physician. Store-and-forward systems of teledermatology often give high levels of diagnostic accuracy, and are cheaper and more convenient for the health care provider, but lack the immediacy of patient contact with the dermatologist, and involve a delay in obtaining the diagnosis and advice on management. It is increasingly likely that teledermatology will prove to be a significant tool in the provision of dermatology services in the future. These services will probably be provided by store-and-forward digital image systems, with real-time videoconferencing being used for case conferences and education. However, much more research is needed into the outcomes and Limitations of such a service and its effect on waiting lists, as well as possible cost benefits for patients, primary health care professionals and dermatology departments.
Keyword Dermatology
Store-and-forward
Teledermatology
Videoconferencing
Realtime Teledermatology
Northern-ireland
Multicenter Teledermatology
Obstetric Ultrasonography
Forward Teledermatology
Patient Satisfaction
Diagnostic-accuracy
New-zealand
Telemedicine
Internet
Q-Index Code C1
Additional Notes This document is a journal review.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: Centre for Online Health Publications
 
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Created: Tue, 14 Aug 2007, 16:07:02 EST