Carolyne Krupa, amednews
“Linking dermatologists to patients in remote areas through telemedicine gives patients more accurate diagnoses and better disease management than they would receive without access to a specialist, says a study in the January Archives of Dermatology.
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Andis Robeznieks, ModernHealthcare
“Live interactive telemedicine consults with dermatologists appeared to result in improved treatment and positive outcomes, according to a report in the American Medical Association’s Archives of Dermatology journal.
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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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Apiscam
“La Sociedad Española de Farmacia Rural (SEFAR) ha presentado los resultados del estudio piloto de Teledermatología llevado a cabo en cinco farmacias rurales desde el mes de octubre, destacando que el 63,6 por ciento de los usuarios estaría dispuesto a pagar por este servicio.
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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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Leonard Witkamp, Ksyos
“Vandaag passeert KSYOS de grens van 75.000 TeleConsulten. De meest toegepaste en best bestudeerde vorm van TeleConsultatie is TeleDermatologie. KSYOS TeleMedisch Centrum monitort van meet af aan prestatie indicatoren, rapporteert deze naar zorgverzekeraars, zorggroepen en zorginstellingen en stelt deze beschikbaar voor wetenschappelijk onderzoek.
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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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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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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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Georgina Enzer, ITP.net
“Qualcomm Incorporated through its Wireless Reach initiative, along with Mobinil, Click Diagnostics, the Egyptian Ministry of Health (MOH) and the Ministry of Communications and Information Technology (MCIT) have launched a pilot program to test the technology framework designed to allow dermatologists to use Mobinil’s 3G mobile network to diagnose skin conditions remotely.
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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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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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Chris Emery, KevinMD
“Acne patients who received online treatment from dermatologists had similar outcomes to patients who were treated in the doctor’s office, a new study found.
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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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mcg, HospitalDigital
“El Gobierno de Castilla-La Mancha extenderá a toda la Comunidad el programa de Teledermatología, denominado DERCAM, el cual ha demostrado una elevada eficacia para el diagnóstico dermatológico a distancia, sin que existan diferencias en la fiabilidad diagnóstica al compararse con las consultas convencionales de presencia.
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Lia Steakley, Scope
“As someone who has spent a fair amount of time in dermatologists’ offices, I was interested to read that a recent study deemed online dermatology visits as effective as office visits.
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Karen Nash, Modern Medicine
“As medical groups grow in size and doctors tend to migrate toward larger population areas, it’s often harder to find specialists in smaller towns. Particularly in lesser-populated states, such as Oklahoma, South Dakota and Wyoming, a patient needing dermatologic care often has to drive hundreds of miles before finding a dermatologist.
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John Andrews, McKnight's
“When wound care patients need intensive treatment, the usual response is to transport them to the nearest hospital or specialty clinic. But it’s a solution those in metropolitan areas take for granted because in many parts of the country, a simple trip to the hospital is a major production or not possible at all.
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New Kerala
“Text messages or reminders on cell phones can prove useful in improving healthy habits amongst people, according to a new study.
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Joseph F. Kovar, ChannelWeb
“The medical industry is showing a lot of interest in telemedicine, but there is a lot of action needed to be taken before that enthusiasm becomes a reality.
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