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    179 results match your criteria Store-and-Forward Teledermatology

    1 OF 4

    Randomized and controlled pilot study of the pragmatic use of mobile phone based follow up of actinic keratoses treated with topical 5-fluorouracil.
    Dermatol Online J 2018 Apr 15;24(4). Epub 2018 Apr 15.
    Department of Dermatology, University of California, Davis, Sacramento, California Department of Biological Sciences, California State University, Sacramento, California.
    Store-and-forward teledermatology involves transmission of a patient's images to a healthcare provider and subsequent response from the provider about the diagnosis or management. Furthermore, teledermatology in which mobile phones (e.g. Read More

    Teledermatology in the US military: a historic foundation for current and future applications.
    Cutis 2018 May;101(5):335;337;345
    Center for Skin Diseases and Laser Aesthetics, Coronado, California, USA.
    Historically, the US military has utilized centralized store-and-forward (S&F) telemedicine programs for health care providers in remote locations worldwide. In the civilian community, new methods and platforms for teledermatology have been created based largely on those used by the military to maximize access to and the efficiency of health care, including secure direct-to-consumer (DTC) mobile applications for patients, live interactive methods, and integrated S&F platforms for dermatology services within electronic health record (EHR) systems. By incorporating similar innovative teledermatology methods and platforms, the US military health care system may benefit from increased accessibility and productivity. Read More

    Utility of international store-and-forward teledermatopathology among a cohort of mostly female patients at a tertiary referral center in Afghanistan.
    Int J Womens Dermatol 2018 Jun 22;4(2):83-86. Epub 2017 Nov 22.
    Department of Dermatology, Department of Pathology and Laboratory Medicine, Emory Center for Ethics, Atlanta, GA.
    Background: The variety and complexity of dermatologic diseases in Afghanistan and the associated diagnostic resource constraints have not been previously studied. Moreover, the utility of store-and-forward teledermatopathology in this resource-limited setting has not been investigated.

    Methods: A retrospective analysis was conducted of 150 store-and-forward teledermatopathology cases that were composed of a clinical history, clinical images, and histologic images that were sent from an academic teaching hospital in Kabul to a dermatology-trained dermatopathologist at Emory University in the United States between November 2013 and June 2017. Read More

    Practice Models in Teledermatology in Spain: Longitudinal Study, 2009-2014.
    Actas Dermosifiliogr 2018 May 25. Epub 2018 May 25.
    Servicio de Dermatología, Hospital Universitario Virgen Macarena, Sevilla, España.
    Introduction: Teledermatology is the most advanced clinical specialty in telemedicine. The development of teledermatology in specific countries has not been studied in depth.

    Methods: Our objective was to analyze teledermatology models in clinical practice in Spain. Read More

    Use of Smartphones for Early Detection of Melanoma: Systematic Review.
    J Med Internet Res 2018 Apr 13;20(4):e135. Epub 2018 Apr 13.
    Unit 1232 - Team 2, Centre de Recherche en Cancérologie, French National Institute of Health and Medical Research, Nantes, France.
    Background: The early diagnosis of melanoma is associated with decreased mortality. The smartphone, with its apps and the possibility of sending photographs to a dermatologist, could improve the early diagnosis of melanoma.

    Objective: The aim of our review was to report the evidence on (1) the diagnostic performance of automated smartphone apps and store-and-forward teledermatology via a smartphone in the early detection of melanoma, (2) the impact on the patient's medical-care course, and (3) the feasibility criteria (focusing on the modalities of picture taking, transfer of data, and time to get a reply). Read More

    Teledermatologist expert skin advice: A unique model of care for managing skin disorders and adverse drug reactions in hepatitis C patients.
    Australas J Dermatol 2018 Mar 23. Epub 2018 Mar 23.
    Dermatology Research Centre, University of Queensland Diamantina Institute, Brisbane, Queensland, Australia.
    Objectives: To conduct an audit of teledermatologist expert skin advice, a store and forward tele-dermatological service, to determine its effectiveness and user satisfaction in managing cutaneous adverse drug reactions in patients with hepatitis C, and to demonstrate a unique collaborative model of care for patients receiving specialised drug therapy.

    Methods: A retrospective analysis of data on teledermatologist expert skin advice referrals from January 2014 to December 2015 was performed. The primary outcomes assessed included number of referrals, referral locations, diagnoses, response times, quality of clinical information provided and user satisfaction ratings. Read More

    Store and forward Teledermatology - the Newport way.
    J Vis Commun Med 2018 Apr 22;41(2):45-51. Epub 2018 Jan 22.
    a Medical Illustration, Royal Gwent Hospital , Newport , Wales , UK.
    Teledermatology plays a vital role within Aneurin Bevan University Health Board. Alongside Consultant Dermatologists we developed Teledermatology to meet clinical needs. This article illustrates the implementation process of the service, highlighting legal and ethical issues that were considered along with the success and scope of the service. Read More

    Impact of dermatology eConsults on access to care and skin cancer screening in underserved populations: A model for teledermatology services in community health centers.
    J Am Acad Dermatol 2018 Feb 20;78(2):293-302. Epub 2017 Oct 20.
    Weitzman Institute, Middletown, Connecticut.
    Background: The clinical outcome of teledermatology with dermoscopy in large-scale primary care networks remains unclear.

    Objective: We evaluate the impact of implementing a teledermatology consultation program with dermoscopy on a statewide scale, focusing on access to care and skin cancer screening for medically underserved populations.

    Methods: Descriptive retrospective cohort study of 2385 dermatology referrals from primary care from June 2014 through November 2015. Read More

    Teledermatology: An updated overview of clinical applications and reimbursement policies.
    Int J Womens Dermatol 2017 Sep 20;3(3):176-179. Epub 2017 May 20.
    Department of Dermatology, University of Connecticut, Farmington, CT.
    Telemedicine is an emerging field in healthcare that provides services from different medical specialties to patients all around the world. One of the specialties in telemedicine, teledermatology, has grown exponentially as a cost-effective way to implement dermatological healthcare to underserved areas and populations. This article reviews the literature that pertains to the cost-effectiveness, reliability, public access, patient satisfaction, and reimbursement policies of teledermatology. Read More

    Impact of Direct to Consumer Store-and-Forward Teledermatology on Access to Care, Satisfaction, Utilization, and Costs in a Commercial Health Plan Population.
    Telemed J E Health 2018 Feb 21;24(2):166-169. Epub 2017 Jul 21.
    1 Aetna, Inc. , New York, New York.
    Purpose: Store-and-forward teledermatology can improve access to dermatology by enabling asynchronous consults. This study assesses it on access, satisfaction, utilization, and costs in a commercial health plan setting.

    Methodology: In this prospective observational study with matched control, 47,411 individuals were provided access to teledermatology services staffed by board-certified, licensed dermatologists for 6 months. Read More

    Usability, Acceptability, and Impact of a Pediatric Teledermatology Mobile Health Application.
    Telemed J E Health 2018 Mar 21;24(3):236-245. Epub 2017 Jul 21.
    1 Department of Pediatrics, The Children's Hospital of Philadelphia , Philadelphia, Pennsylvania.
    Objective: Pediatric dermatology appointment wait times often exceed several months. We evaluated the usability, acceptability, and clinical impact of a store-and-forward teledermatology mobile application (app) linking families with pediatric dermatologists.

    Methods: Parents of children age 6 weeks to 17 years or individuals 18-21 years old were invited (by e-mail or referral) to participate in this single group, prospective study. Read More

    Incidence of melanoma and keratinocytic carcinomas in patients evaluated by store-and-forward teledermatology vs. dermatology clinic.
    Int J Dermatol 2017 Oct 20;56(10):1026-1031. Epub 2017 Jun 20.
    Tufts Medical Center/Tufts University School of Medicine, Boston, MA, USA.
    Background: It is unclear whether incidence of detected skin cancer in patients evaluated by store-and-forward teledermatology (SAF) vs. face-to-face consultation (F2F) significantly differs, and whether such differences are because of variations in patient demographics, diagnostic accuracy, or both.

    Methods: This retrospective cohort study compares patient skin cancer risk profile, pre-post biopsy diagnostic accuracy, and detection rates of any skin cancer, melanoma, and keratinocytic carcinoma between all SAF teledermatology patients and a subset of randomly selected F2F consultations at VA-Boston Healthcare System in 2014. Read More

    Diagnosis and Management of Malignant Melanoma in Store-and-Forward Teledermatology.
    Telemed J E Health 2017 Nov 12;23(11):877-880. Epub 2017 May 12.
    5 VHA Puget Sound Health Care System , Seattle, Washington.
    Background: Published studies have led to concern that store-and-forward teledermatology (SFT) diagnosis and management of melanomas may be inferior to face-to-face (FTF) dermatology care.

    Introduction: To ascertain the frequency of correctly managed and diagnosed melanomas within a population of veterans in Veterans Integrated Service Network 20 SFT.

    Materials And Methods: We conducted a retrospective chart review of 7,960 veterans seen by SFT between July 1, 2009 and December 31, 2011. Read More

    Creation of an Internal Teledermatology Store-and-Forward System in an Existing Electronic Health Record: A Pilot Study in a Safety-Net Public Health and Hospital System.
    JAMA Dermatol 2017 Jul;153(7):644-650
    Division of Information Technology, Parkland Health and Hospital Systems, Dallas, Texas5Departments of Dermatology and Internal Medicine, University of Texas Southwestern Medical Center, Dallas.
    Importance: External store-and-forward (SAF) teledermatology systems operate separately from the primary health record and have many limitations, including care fragmentation, inadequate communication among clinicians, and privacy and security concerns, among others. Development of internal SAF workflows within existing electronic health records (EHRs) should be the standard for large health care organizations for delivering high-quality dermatologic care, improving access, and capturing other telemedicine benchmark data. Epic EHR software (Epic Systems Corporation) is currently one of the most widely used EHR system in the United States, and development of a successful SAF workflow within it is needed. Read More

    Patient and Provider Satisfaction with Teledermatology.
    Telemed J E Health 2017 08 4;23(8):684-690. Epub 2017 Apr 4.
    2 National Library of Medicine, National Institutes of Health , Bethesda, Maryland.
    Background: There is little research comparing dermatologist and patient satisfaction with in-person, store-and-forward, and live interactive examinations.

    Objective: To compare satisfaction with in-person examinations to store-and-forward and live interactive consultations having two types of video.

    Methods: A controlled study was conducted where patients referred for dermatology consultations were examined in-person, by video, and by store-and-forward methods. Read More

    A systematic review of satisfaction with teledermatology.
    J Telemed Telecare 2018 May 28;24(4):263-270. Epub 2017 Mar 28.
    1 Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
    Background The two most commonly used modalities of teledermatology (TD) are store-and-forward (SF) and live-interactive (LI) TD. Existing studies have not compared these tools with respect to patient and provider satisfaction. Objective To systematically review all published studies of patient and provider satisfaction with SF and LI TD. Read More

    Mobile teledermatology for skin cancer screening: A diagnostic accuracy study.
    Medicine (Baltimore) 2017 Mar;96(10):e6278
    aInstitute of primary care, University and University Hospital of Zürich, Zürich, Switzerland bDepartment of Dermatology, University and University Hospital of Zürich, Zürich, Switzerland.
    Skin cancer screening has undoubted potential to reduce cancer-specific morbidity and mortality. Total-body exams remain the prevailing concept of skin cancer screening even if effectiveness and value of this method are controversial. Meanwhile, store and forward teledermatology was shown to be a reliable instrument for several diagnostic purposes mostly in specialized dermatology settings. Read More

    Practical and Sustainable Teledermatology and Teledermatopathology: Specialty Care in Cameroon Africa.
    J Clin Aesthet Dermatol 2017 Jan 1;10(1):47-56. Epub 2017 Jan 1.
    Harbor UCLA Department of Dermatology, Torrance, California.
    Teledermatology is a rapidly expanding niche within telemedicine still in its infancy. It has become increasingly more feasible in recent years with the expansion of information and communication technologies. Here, the authors present the details of their collaboration and propose a model for constructing a teledermatology network. Read More

    Utility of Store and Forward Teledermatology for Skin Patch Test Readings.
    Dermatitis 2017 Mar/Apr;28(2):152-161
    From the *University of Minnesota Medical School; †HCMC Parkside Occupational and Contact Dermatitis Clinic; ‡Department of Dermatology, Minneapolis Veterans Affairs Medical Center; and §Department of Dermatology, University of Minnesota Medical School, Minneapolis.
    Background: Teledermatology (TD) is the use of imaging technology to provide dermatology services at a distance. To date, studies assessing its application for grading skin patch test reactions have been lacking.

    Objectives: The aim was to compare conventional, in-person (IP) grading of skin patch test reactions with store-forward TD. Read More

    Unimaged Melanomas in Store-and-Forward Teledermatology.
    Telemed J E Health 2017 06 8;23(6):517-520. Epub 2016 Dec 8.
    5 VHA Puget Sound Health Care System, Seattle, Washington.
    Background: Store-and-forward teledermatology (SFT) readers can only diagnose what is imaged. This limitation has caused concern regarding the ability of primary care to direct imaging of lesions suspicious for melanoma. Melanomas not imaged by primary care providers (PCPs) are termed unimaged melanomas. Read More

    Comparing High Definition Live Interactive and Store-and-Forward Consultations to In-Person Examinations.
    Telemed J E Health 2017 03 5;23(3):213-218. Epub 2016 Oct 5.
    2 National Library of Medicine, National Institutes of Health , Bethesda, Maryland.
    Background: There is little teledermatology research directly comparing remote methods, even less research with two in-person dermatologist agreement providing a baseline for comparing remote methods, and no research using high definition video as a live interactive method.

    Objective: To compare in-person consultations with store-and-forward and live interactive methods, the latter having two levels of image quality.

    Methods: A controlled study was conducted where patients were examined in-person, by high definition video, and by store-and-forward methods. Read More

    Telediagnosis with Confocal Microscopy: A Reality or a Dream?
    Dermatol Clin 2016 Oct;34(4):505-512
    Dermatology Research Centre, Translational Research Institute, School of Medicine, The University of Queensland, 37 Kent Street Woolloongabba QLD 4102, Australia.
    Reflectance confocal microscopy (RCM) is becoming more popular among dermatologists aiming to improve their bedside diagnostic accuracy and reduce unnecessary removal of benign cutaneous lesions. With increased interest in the field, limitation of experts, and dedicated training programs, telemedicine application to RCM (teleconfocal) helps to connect patients with experts at a distance. Diagnostic accuracy of store-and-forward telemedicine review of RCM images, patient safety, and cost-effectiveness are important considerations for proper acceptance and usage of the technology in the medical community. Read More

    [Development of a teledermatology system for the melanoma diagnosis. The pilot experience of the project Clicca il neo].
    Recenti Prog Med 2016 Aug;107(8):440-3
    Centro Studi GISED, Bergamo - USC Dermatologia, ASST Ospedale Papa Giovanni XXIII, Bergamo.
    Introduction: Cutaneous melanoma is a significant cause of mortality, and since the skin is easily accessible for inspection, it is amenable to interventions of education and promotion of early diagnosis through the use of telemedicine systems.

    Methods: Clicca il neo is a programme for the early diagnosis of skin cancer employing tools of teledermatology with a store-and-forward modality. The system uses a web form for data collection and upload of skin photographs taken by users. Read More

    Impact of a store-and-forward teledermatology intervention versus usual care on delay before beginning treatment: A pragmatic cluster-randomized trial in ambulatory care.
    J Telemed Telecare 2017 Sep 5;23(8):725-732. Epub 2016 Aug 5.
    1 Department of General Medicine, Paris Diderot University, Paris, France.
    Introduction In France, 66% of patients forego getting specialized care by dermatologists because of difficulty obtaining appointments. Store-and-forward teledermatology could improve how promptly treatment begins by reducing the delay in obtaining a specialist's opinion. In this study, we compared the delay before care between general practitioners (GPs) using a store-and-forward teledermatology intervention and GPs addressing their patients with a standard referral letter. Read More

    Tele-aesthetics in South Asia.
    J Cosmet Dermatol 2017 Mar 11;16(1):21-25. Epub 2016 Jul 11.
    Singapore General Hospital, Singapore, Singapore.
    Background: Telemedicine is becoming increasingly popular. The best use for it is in the field of aesthetic dermatology - where conditions are not life-threatening, and treatments can be topical and very safe.

    Aims: In this study, we demonstrate that a simple store-and-forward telemedicine system can be applied safely to the field of aesthetic dermatology. Read More

    Two Decades of Teledermatology: Current Status and Integration in National Healthcare Systems.
    Curr Dermatol Rep 2016;5:96-104. Epub 2016 Mar 28.
    Department of Medical Informatics, Academic Medical Center, Amsterdam, The Netherlands ; KSYOS Health Management Research, Amstelveen, The Netherlands.
    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. Read More

    Cost-effectiveness of Store-and-Forward Teledermatology: A Systematic Review.
    JAMA Dermatol 2016 06;152(6):702-8
    School of Pharmacy, The University of Queensland, Brisbane, Australia.
    Importance: Teledermatology is a topical clinical approach being tested in Australia and elsewhere. With most dermatologists residing in metropolitan areas, teledermatology provides an apparent low-cost and convenient means of access for individuals living outside these areas. It is important that any proposed new addition to a health care system is assessed on the grounds of economic cost and effectiveness. Read More

    Teledermoscopy in doubtful melanocytic lesions: is it really useful?
    Int J Dermatol 2016 Oct 7;55(10):1119-23. Epub 2016 Apr 7.
    Department of Human Pathology and Oncology, University of Florence, Florence, Italy.
    Introduction: The diagnosis of cutaneous pigmented lesions remains a challenge for both dermatologists and pathologists. Our aim was to determine the diagnostic concordance between the conventional face-to-face diagnosis and the telediagnosis of 10 dermatologists with expertise in dermato-oncology of 10 challenging pigmented lesions.

    Methods: Using a store-and-forward teledermatology method, clinical and dermoscopic digital images of all selected lesions were transmitted via e-mail to 10 dermatologists. Read More

    Teledermatology and clinical photography: safeguarding patient privacy and mitigating medico-legal risk.
    Med J Aust 2016 Mar;204(5):198-200e1
    University of Queensland, Brisbane, QLD.
    Capturing clinical images is becoming more prevalent in everyday clinical practice, and dermatology lends itself to the use of clinical photographs and teledermatology. "Store-and-forward", whereby clinical images are forwarded to a specialist who later responds with an opinion on diagnosis and management is a popular form of teledermatology. Store-and-forward teledermatology has proven accurate and reliable, accelerating the process of diagnosis and treatment and improving patient outcomes. Read More

    Use of Smartphones in Telemedicine: Comparative Study Between Standard and Teledermatological Evaluation of High-Complex Care Hospital Inpatients.
    Telemed J E Health 2016 09 9;22(9):755-60. Epub 2016 Mar 9.
    1 Department of Dermatology, Hospital das Clinicas, University of São Paulo, São Paulo, Brazil .
    Background: It is estimated that there are around 7 billion mobile phone subscriptions worldwide. Considering the availability and convenience, it appears to be a suitable device for store-and-forward (SF) consultations.

    Introduction: Although teledermatology has been suggested as an effective way of reducing costs and providing otherwise inaccessible expert evaluation, most studies have relied on high cost and high technological means. Read More

    Can teledermatology be a useful diagnostic tool in dermatology practice in remote areas? An Egyptian experience with 600 patients.
    J Telemed Telecare 2017 Feb 9;23(2):233-238. Epub 2016 Jul 9.
    Dermatology Department, Faculty of Medicine, Cairo University, Egypt.
    Introduction The paucity of studies evaluating teledermatology (TD) in developing countries was the impetus behind conducting this work. We aimed to evaluate the feasibility and reliability of TD in remote areas where medical facilities and consultant dermatologists are not available, through measurement of diagnostic concordance rates between face-to-face diagnosis and store-and-forward (SAF) TD diagnosis. Methods A total of 600 patients with dermatological ailments who attended Abshway Hospital were recruited into the study, examined by an on-site dermatology resident, and offered a diagnosis. Read More

    Diagnostic value of telecytology in tertiary teledermatological consultation: a retrospective analysis of 75 cases.
    Int J Dermatol 2016 Jul 12;55(7):e392-8. Epub 2016 Feb 12.
    Department of Dermatology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
    Background: The addition of dermatoscopic images to clinical images is reported to increase the diagnostic value of teledermatology. No study has investigated the contribution of telecytology to teledermatology. We aimed to assess the diagnostic accuracy of telecytology in tertiary teledermatological evaluation. Read More

    Experience with Quality Assurance in Two Store-and-Forward Telemedicine Networks.
    Front Public Health 2015 26;3:261. Epub 2015 Nov 26.
    Department of Dermatology, Waikato Hospital, Hamilton, New Zealand; Waikato Clinical Campus, University of Auckland, Hamilton, New Zealand.
    Despite the increasing use of telemedicine around the world, little has been done to incorporate quality assurance (QA) into these operations. The purpose of the present study was to examine the feasibility of QA in store-and-forward teleconsulting using a previously published framework. During a 2-year study period, we examined the feasibility of using QA tools in two mature telemedicine networks [Médecins Sans Frontières (MSF) and New Zealand Teledermatology (NZT)]. Read More

    Interobserver reliability of teledermatology across all Fitzpatrick skin types.
    J Telemed Telecare 2017 Jan 9;23(1):68-73. Epub 2016 Jul 9.
    4 Department of Dermatology, University of Southern California, USA.
    Introduction Demand for dermatologic services in safety net hospitals, which disproportionately serve patients with darker coloured skin, is growing. Teledermatology has the potential to increase access and improve outcomes, but studies have yet to demonstrate the reliability of teledermatology for all Fitzpatrick skin types. Methods We assessed the reliability of teledermatologists' diagnoses and management recommendations for store-and-forward teledermatology in patients with lightly pigmented (Fitzpatrick skin types I-III) versus darkly pigmented (Fitzpatrick skin types IV-VI) skin, when compared to in-person diagnosis and management decisions. Read More

    Impact of store-and-forward (SAF) teledermatology on outpatient dermatologic care: A prospective study in an underserved urban primary care setting.
    J Am Acad Dermatol 2016 Mar 8;74(3):484-90.e1. Epub 2015 Dec 8.
    Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Department of Internal Medicine, Division of Infectious Diseases, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address:
    Background: The clinical value of teledermatology in the primary care setting remains relatively unknown.

    Objective: We sought to determine the impact of teledermatology on outpatient diagnosis, management, and access to dermatologic care in a resource-poor primary care setting.

    Methods: We performed a prospective study of store-and-forward teledermatology consults submitted between January and November 2013 from 11 underserved clinics in Philadelphia to the University of Pennsylvania using mobile devices and the Internet. Read More

    Smartphones Enable Teledermatology in South Dakota: An Overview and Primer for Primary Care Providers.
    S D Med 2015 Oct;68(10):449-53, 455
    Timely access to specialty care by dermatologists is a significant problem in South Dakota. This is especially germane to patients in rural areas, the elderly, and those with socioeconomic barriers. Implementation of a modality utilizing smartphone technology called mobile teledermatology (MTD) should improve access to dermatologic care. Read More

    Teledermatology: diagnostic reliability in 383 children.
    Eur J Dermatol 2015 Nov-Dec;25(6):563-9
    Department of Dermatology, University Hospital of La Coruña, Xubias de Arriba, 84, 15006, La Coruña, Spain.
    Background: There are few studies of teledermatology focused on the pediatric age group. The aim of this study was to assess the validity and reliability of store-and-forward teledermatology (STD) as a diagnostic tool for pediatricians and to reduce face-to-face consultations.

    Material And Methods: A retrospective, observational study of 383 children and adolescents under 15 years of age, referred from primary care to Dermatology Department of University Hospital of La Coruña, Spain, between 2011 and 2013, using a STD consult system. Read More

    Primary care providers' perceptions of mobile store-and-forward teledermatology.
    Dermatol Online J 2015 Aug 15;21(8). Epub 2015 Aug 15.
    Perelman School of Medicine at the University of Pennsylvania.
    Introduction: Although teledermatology offers promise as a tool to increase access to care, adoption has been limited. Understanding the perspectives and experiences of key stakeholders, such as primary care providers (PCPs) and patients, is important to identify opportunities to reduce barriers to adoption and to improve teledermatology programs. Although many studies have examined patients' experiences and satisfaction with teledermatology, few have examined referring PCPs' perspectives. Read More

    Teledermatology Implementation in a VHA Secondary Treatment Facility Improves Access to Face-to-Face Care.
    Telemed J E Health 2016 Jan 22;22(1):12-7. Epub 2015 Sep 22.
    1 VA Puget Sound Health Care System , Seattle, Washington.
    Background: Teledermatology is a mainstream modality for delivering care in the Veterans Health Administration, especially in rural areas where access to traditional dermatology care is constrained. Previous investigations of the effect of teledermatology on improving patient access have focused largely on the metrics of visits avoided. However, the effect of teledermatology on improving patient access to face-to-face dermatology has not been well documented. Read More

    Cost and Utility Analysis of a Store-and-Forward Teledermatology Referral System: A Randomized Clinical Trial.
    JAMA Dermatol 2015 Dec;151(12):1323-1329
    Research and Development, Durham Veterans Affairs Medical Center, Durham, North Carolina2Division of General Internal Medicine, Duke University Medical Center, Durham, North Carolina.
    Importance: The costs and utility of teledermatology are important features of implementation. Such an analysis requires a description of the perspective of the entity that will bear the cost.

    Objective: To assess the costs and utility of a store-and-forward teledermatology referral process compared with a conventional referral process from the perspectives of the Department of Veterans Affairs (VA) and society. Read More

    [Teledermatology in Paediatrics. Observations in daily clinical practice].
    An Pediatr (Barc) 2016 Jun 10;84(6):324-30. Epub 2015 Aug 10.
    Servicio de Dermatología, Complejo Hospitalario de Pontevedra, Pontevedra, España.
    Introduction: Teledermatology is a technique that is increasingly being developed. There are many studies that assess this discipline in the general population, but few studies analyse the paediatric population exclusively. The aims of this study are to describe the distribution of diseases consulted through teledermatology, the use of this technique to avoid face-to-face consultations, and the agreement between virtual and face-to-face diagnoses, in the paediatric population. Read More

    Validation of a Skin-Lesion Image-Matching Algorithm Based on Computer Vision Technology.
    Telemed J E Health 2016 Jan 28;22(1):45-50. Epub 2015 Jul 28.
    4 The Manor Hospital , Oxford, United Kingdom .
    Background: Melanoma incidence is increasing globally, but consistently accurate skin-lesion classification methods remain elusive. We developed a simple software system to classify potentially all types of skin lesions. In the current study, we evaluated the system's ability to identify melanomas with a diameter of 10 mm or larger. Read More

    Teledermatology Within the Veterans Health Administration, 2002-2014.
    Telemed J E Health 2015 Oct 17;21(10):769-73. Epub 2015 Jun 17.
    1 Providence VA Medical Center , Providence, Rhode Island.
    Background: In order to increase veterans' access to dermatologic care, the Veterans Health Administration (VHA) has developed one of the largest teledermatology programs in the United States. This article describes the recent expansion of the VHA's teledermatology program after local and national initiatives and resource allocation.

    Materials And Methods: This report describes routinely collected VHA data. Read More

    Waikato Teledermatology: a pilot project for improving access in New Zealand.
    J Telemed Telecare 2015 Oct 1;21(7):414-9. Epub 2015 Jun 1.
    Waikato Clinical Campus, University of Auckland, New Zealand Department of Dermatology, Waikato Hospital, New Zealand.
    Introduction: Teledermatology can improve access to specialist dermatological advice. We describe a retrospective review of the first 12 months of Waikato Teledermatology (WT), a low-cost, secure, website-based, store-and-forward teledermatology network using the Collegium Telemedicus platform.

    Methods: We determined specialist response time, referral metrics, patient diagnosis and progress reports from the network's database. Read More

    Teledermatology: from historical perspective to emerging techniques of the modern era: part II: Emerging technologies in teledermatology, limitations and future directions.
    J Am Acad Dermatol 2015 Apr;72(4):577-86; quiz 587-8
    Department of Dermatology, Weill Cornell Medical College, New York, New York. Electronic address:
    Telemedicine is the use of telecommunications technology to support health care at a distance. Dermatology relies on visual cues that are easily captured by imaging technologies, making it ideally suited for this care model. Advances in telecommunications technology have made it possible to deliver high-quality skin care when patient and provider are separated by both time and space. Read More

    Teledermatology: from historical perspective to emerging techniques of the modern era: part I: History, rationale, and current practice.
    J Am Acad Dermatol 2015 Apr;72(4):563-74; quiz 575-6
    Department of Dermatology, Weill Cornell Medical College, New York, New York. Electronic address:
    Telemedicine is the use of telecommunications technology to support health care at a distance. Technological advances have progressively increased the ability of clinicians to care for diverse patient populations in need of skin expertise. Dermatology relies on visual cues that are easily captured by imaging technologies, making it ideally suited for this care model. Read More

    Telehealth: the specialist perspective.
    Aust Fam Physician 2014 Dec;43(12):828-30
    MBBS FACD FACRRM (Hon), Director of the Department of Dermatology, Mater Misericordiae Hospital, South Brisbane, and Dermatologist, Telederm National, QLD.
    Background: Tele-Derm National is an online consultation and educational service in dermatology designed to meet the needs of doctors working in rural and remote Australia. In existence since 2003, it is hosted on the Rural and Remote Medical Education Online site, which is run by the Australian College of Rural and Remote Medicine.

    Objective: This article aims to explore the use and potential of store-and-forward teledermatology in the Australian context. Read More

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