Teledermatology and in-person examinations - A comparison of patient and physician perceptions and diagnostic agreement

被引:149
作者
Lowitt, MH
Kessler, II
Kauffman, CL
Hooper, FJ
Siegel, E
Burnett, JW
机构
[1] Univ Maryland, Sch Med, Dept Dermatol, Baltimore, MD 21201 USA
[2] Univ Maryland, Sch Med, Dept Epidemiol & Prevent Med, Baltimore, MD 21201 USA
[3] Univ Maryland, Sch Med, Dept Pathol, Baltimore, MD 21201 USA
[4] Univ Maryland, Sch Med, Dept Med, Baltimore, MD 21201 USA
[5] Univ Maryland, Sch Med, Dept Radiol, Baltimore, MD 21201 USA
[6] Baltimore Vet Affairs Med Ctr, Baltimore, MD USA
关键词
D O I
10.1001/archderm.134.4.471
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Objective: To compare physician and patient impressions and interphysician diagnostic agreement between live teledermatology and in-person examinations. Design: Paired video and in-person examinations with different dermatologists. Setting: An urban Veterans Affairs dermatology clinic. Patients: One hundred thirty-nine patients. Main Outcome Measures: Satisfaction questionnaires and interphysician diagnostic agreement. Results: Patient and physician satisfaction was high. Agreement between video and in-person diagnoses was 80%. Conclusions: Physicians and patients were satisfied with teledermatology examinations. Diagnostic agreement between in-person and video dermatologists was high.
引用
收藏
页码:471 / 476
页数:6
相关论文
共 15 条
  • [1] PATIENT SATISFACTION WITH TELEMEDICINE IN A RURAL CLINIC
    ALLEN, A
    HAYES, J
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 1994, 84 (10) : 1693 - 1693
  • [2] Allen A, 1995, J Telemed Telecare, V1, P34
  • [3] RELIABILITY OF NEVUS COUNTS IN IDENTIFYING INDIVIDUALS AT HIGH-RISK OF MALIGNANT-MELANOMA
    BYLES, JE
    HENNRIKUS, D
    SANSONFISHER, R
    HERSEY, P
    [J]. BRITISH JOURNAL OF DERMATOLOGY, 1994, 130 (01) : 51 - 56
  • [4] Field MJ, 1996, Telemedicine: A Guide to Assessing Telecommunications for Health Care, P1
  • [5] Jones D H, 1996, J Telemed Telecare, V2 Suppl 1, P7, DOI 10.1258/1357633961929402
  • [6] The substitution of digital images for dermatologic physical examination
    Kvedar, JC
    Edwards, RA
    Menn, ER
    Mofid, M
    Gonzalez, E
    Dover, J
    Parrish, JA
    [J]. ARCHIVES OF DERMATOLOGY, 1997, 133 (02) : 161 - 167
  • [7] EVALUATION OF CUTANEOUS PHOTODAMAGE USING A PHOTOGRAPHIC SCALE
    LARNIER, C
    ORTONNE, JP
    VENOT, A
    FAIVRE, B
    BEANI, JC
    THOMAS, P
    BROWN, TC
    SENDAGORTA, E
    [J]. BRITISH JOURNAL OF DERMATOLOGY, 1994, 130 (02) : 167 - 173
  • [8] INTEROBSERVER AGREEMENT IN A COMMUNITY SKIN-CANCER SCREENING SETTING
    LEFFELL, DJ
    CHEN, YT
    BERWICK, M
    BOLOGNIA, JL
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1993, 28 (06) : 1003 - 1005
  • [9] Telemedicine evaluation of cutaneous diseases: A blinded comparative study
    Lesher, JL
    Davis, LS
    Gourdin, FW
    English, D
    Thompson, WO
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1998, 38 (01) : 27 - 31
  • [10] Mitchell B R, 1996, J Telemed Telecare, V2, P81, DOI 10.1258/1357633961929835