Teledermatology: Comparison of Store-and-Forward Versus Live Interactive Video Conferencing

被引:39
作者
Brinker, Titus Josef [1 ,2 ,3 ]
Hekler, Achim [1 ]
von Kalle, Christof [1 ]
Schadendorf, Dirk [4 ]
Esser, Stefan [4 ,5 ]
Berking, Carola [6 ]
Zacher, Martina T. [6 ]
Sondermann, Wiebke [4 ]
Grabe, Niels [7 ]
Steeb, Theresa [6 ]
Utikal, Jochen Sven [8 ]
French, Lars E. [9 ]
Enk, Alexander H. [2 ]
机构
[1] German Canc Res Ctr, Natl Ctr Tumor Dis, Dept Translat Oncol, Neuenheimer Feld 460, Heidelberg, Germany
[2] Heidelberg Univ, Univ Hosp Heidelberg, Dept Dermatol, Heidelberg, Germany
[3] Heidelberg Univ, German Canc Consortium, Heidelberg, Germany
[4] Univ Duisburg Essen, Univ Hosp Essen, Dept Dermatol, Essen, Germany
[5] Univ Zurich, Univ Hosp Zurich, Zurich, Switzerland
[6] Ludwig Maximilian Univ Munich, Univ Med Ctr Munich, Dept Dermatol & Allergol, Munich, Germany
[7] Heidelberg Univ, Hamamatsu Tissue Imaging & Anal Ctr TIGA, BioQuant, Heidelberg, Germany
[8] Heidelberg Univ, German Canc Res Ctr, Skin Canc Unit, Mannheim, Germany
[9] Univ Zurich, Univ Hosp Zurich, Dept Dermatol, Zurich, Switzerland
关键词
teledermatology; live video conferencing; store-and-forward teledermatology; mobile phone; wait time; live interactive; SKIN-CANCER; MOBILE TELEDERMATOLOGY; DIAGNOSIS; MANAGEMENT; MELANOMA; TELEDERMOSCOPY; DISCORDANCE; REFERRALS; ACCURACY; LESIONS;
D O I
10.2196/11871
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
A decreasing number of dermatologists and an increasing number of patients in Western countries have led to a relative lack of clinicians providing expert dermatologic care. This, in turn, has prolonged wait times for patients to be examined, putting them at risk. Store-and-forward teledermatology improves patient access to dermatologists through asynchronous consultations, reducing wait times to obtain a consultation. However, live video conferencing as a synchronous service is also frequently used by practitioners because it allows immediate interaction between patient and physician. This raises the question of which of the two approaches is superior in terms of quality of care and convenience. There are pros and cons for each in terms of technical requirements and features. This viewpoint compares the two techniques based on a literature review and a clinical perspective to help dermatologists assess the value of teledermatology and determine which techniques would be valuable in their practice.
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