Two Decades of Teledermatology: Current Status and Integration in National Healthcare Systems

被引：114

作者：

Tensen E. ^{[1
]}

van der Heijden J.P. ^{[2
]}

Jaspers M.W.M. ^{[1
]}

Witkamp L. ^{[1
,2
]}

机构：

[1] Department of Medical Informatics, Academic Medical Center, Amsterdam

[2] KSYOS Health Management Research, Amstelveen

来源：

Current Dermatology Reports | 2016年 / 5卷 / 2期

关键词：

Delivery modalities; Implementation requirements; Integration national healthcare system; Merits; Teledermatology;

D O I：

10.1007/s13671-016-0136-7

中图分类号：

学科分类号：

摘要：

Teledermatology, originating in 1995, has been one of the first telemedicine services to see the light of day. Two decades of teledermatology research is summarized in this review. A literature search was conducted in PubMed. Search terms included “teledermatology,” “teledermoscopy,” “tele wound care,” “telederm*,” “(dermatology OR dermoscopy OR wound care OR skin) AND (telemedicine OR ehealth or mhealth OR telecare OR teledermatology OR teledermoscopy).” Inclusion criteria were (i) Dutch or English written papers and (ii) publication year from 2011 to present or (iii) (systematic) reviews with publication year before 2011. One hundred fourteen publications and 14 (systematic) reviews were included for full text reading. Focus of this review is on the following outcomes: (i) actors (primary, secondary, tertiary), (ii) purposes (consultation, triage, follow-up, education) and subspecialties (tele-wound care, burn care, teledermoscopy (teledermatoscopy), teledermatopathology, and mobile teledermatology), (iii) delivery modalities and technologies (store and forward, real-time interactive, and hybrid modalities using web-based systems, email, mobile phones, tablets, or videoconferencing equipment), (iv) business models, (v) integration of teledermatology into national healthcare systems, (vi) preconditions and requirements for implementation (security, ethical issues, responsibility, reimbursement, user satisfaction, technique, and technology standards), and (vii) added value. To conclude, teledermatology is an efficient and effective healthcare service compared to in-person care. Teledermatology reduces patients’ travel time and waiting time, avoids (unnecessary) dermatologic visits, and improves access of care to underserved patients. © 2016, The Author(s).

引用

页码：96 / 104

页数：8

共 47 条

[1]

A health telematics policy in support of WHO’s Health-For-All strategy for global health development: report of the WHO group consultation on health telematics. 11–16 December, Geneva, 1997, World Health Organization, (1998)

[2]

Goncalves L., Cunha C., Telemedicine project in the Azores Islands, Arch Anat Cytol Pathol, 43, 4, pp. 285-287, (1995)

[3]

Crichton C., Macdonald S., Potts S., Syme A., Toms J., McKinlay J., Et al., Teledermatology in Scotland, J Telemed Telecare, 1, 3, (1995)

[4]

Perednia D.A., Brown N.A., Teledermatology: one application of telemedicine, Bull Med Libr Assoc, 83, 1, pp. 42-47, (1995)

[5]

Menn E.R., Kvedar J.C., Teledermatology in a changing health care environment, Telemed J, 1, 4, pp. 303-308, (1995)

[6]

Bashshur R.L., Shannon G.W., Tejasvi T., Kvedar J.C., Gates M., The empirical foundations of teledermatology: a review of the research evidence, Telemed J E Health, 21, 12, pp. 953-979, (2015)

[7]

Whited J.D., Teledermatology, Med Clin North Am, 99, 6, pp. 1365-1379, (2015)

[8]

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

[9]

Wurm E.M., Hofmann-Wellenhof R., Wurm R., Soyer H.P., Telemedicine and teledermatology: past, present and future, J Dtsch Dermatol Ges, 6, 2, pp. 106-112, (2008)

[10]

Hwang J.S., Lappan C.M., Sperling L.C., Meyerle J.H., Utilization of telemedicine in the U.S. military in a deployed setting, Mil Med, 179, 11, pp. 1347-1353, (2014)

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