China
Africa
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Teledermatology in developing countries
Published in Richard Wootton, Nivritti G. Patil, Richard E. Scott, Kendall Ho, Telehealth in the Developing World, 2019
Steven Kaddu, Carrie Kovarik, Gerald Gabler, H. Peter Soyer
This teledermatology network was initiated in April 2002 with the aim of creating an easy-to-use platform for teleconsultation services where physicians could seek diagnostic advice in dermatology from a pool of expert consultants and discuss challenging cases.18 An online discussion forum was included in October 2003. At present, more than 1300 physicians are subscribed to the telederm.org project from over 90 countries worldwide. Through this application, participants from different medical specialties are matched with dermatologists with a range of experience in diagnosis and management of various skin diseases. By providing a platform for interactive discussion between physicians at the point of care and experts from different countries, the telederm.org project seeks to raise the level of competence of physicians and dermatologists at the point of care on a worldwide level.
Introducing eHealth
Published in Lisette van Gemert-Pijnen, Saskia M. Kelders, Hanneke Kip, Robbert Sanderman, eHealth Research, Theory and Development, 2018
Lisette (J.E.W.C.) van Gemert-Pijnen, Hanneke Kip, Saskia M. Kelders, Robbert Sanderman
Efficiency is an important benefit as well, since eHealth can require fewer resources to achieve the same quality of care and effects on health and well-being. Teledermatology – the use of audio and video communication in the assessment and treatment of skin conditions and tumours – can decrease the number of doctor visits, saving costs and time.
Prerecorded telemedicine
Published in Richard Wootton, John Craig, Victor Patterson, Introduction to Telemedicine, 2017
Prerecorded teledermatology involves capturing one or more images of a dermatological condition and then forwarding them to a specialist, together with other relevant clinical information for interpretation. The images can be still or moving pictures. It can be as simple as sending a photograph of a lesion in the post to a specialist, or it can involve transmitting a prerecorded digital image to the specialist via a high-speed communications network. The main use of teledermatology is remote consultation, either between primary and secondary care (e.g. a general practitioner asking advice from a hospital dermatologist) or between dermatologists.
Strategies to maximize clinical efficiency while maintaining patient safety during the COVID-19 pandemic: an interview-based study from private practice dermatologists
Published in Journal of Dermatological Treatment, 2022
Kaitlyn M. Yim, Rebecca M. Yim, Sara Gaspard, Jamie MacDougall, April W. Armstrong
During this time, many providers have turned to telemedicine to continue to provide medical care (7). Dermatology, a field largely dependent on visual examination, is particularly suited to the use of telemedicine for triage and management of certain conditions (8–11). The COVID-19 pandemic has resulted in a significant increase in the practice of teledermatology, with some solely practicing teledermatology when the stay-at-home order was first enacted. On average, 12.8%, or one in every 7.8 patients, was reported to be the ideal proportion of teledermatology patients to maximize clinical efficiency and maintain patient safety. From the dermatologists’ experience, teledermatology is best suited for follow-up visits for acne, isotretinoin treatment, mild rashes, and non-extensive surgeries. However, the large number of patients who require in-person evaluation or treatment, as well as the obstacles associated with teledermatology, cannot be ignored. Given that it is unclear exactly how long the pandemic is projected to last, it is important to recognize how dermatologists can best utilize teledermatology in an effective manner to enhance patient care and safety, especially as many hope to continue teledermatology in some capacity in the future.
Inpatient teledermatology during the COVID-19 pandemic
Published in Journal of Dermatological Treatment, 2020
Kyle Rismiller, Alexander M. Cartron, John C. L. Trinidad
While there are many benefits to the implementation of teledermatology for inpatient dermatology consultations, there are limitations which must be addressed. Limitations institutions may face include technical limitations, workforce limitations, and accuracy. Not all electronic medical records have capability to capture, store, and send photos. Nurses and ancillary staff may not be trained to take high quality photos. And while photographs are useful in triaging and simple diagnoses, the subtle complexity of inpatient dermatology consultations can be lost in store-and-forward consultations. This issue can be partially addressed by standardizing dermatologic photography by nurses and staff. Photos can be tailored to the skin condition, such as rash versus lesion, and anatomic location and serve as a reference immediately available at the bed side to ensure high-quality, comprehensive images. Many excellent resources are available to develop these guidelines (4).
Store and forward Teledermatology – the Newport way
Published in Journal of Visual Communication in Medicine, 2018
Sophie Gregory, Ceri Llewellyn
From research, it was apparent that in terms of diagnostic accuracy and reliability, there were no clear differences. However store and forward Teledermatology is more cost-effective and assessments of outcomes when using store and forward Teledermatology have shown that approximately half of Teledermatology consults do not require a second clinic visit. Additionally, patients also reach a point of intervention with a dermatologist much sooner with store and forward Teledermatology compared to the conventional referral process (Whited, 2014, pp.12–30).