469 results match your criteria Store-and-Forward Teledermatology


Teledermatology for diagnosing skin cancer in adults.

Cochrane Database Syst Rev 2018 Dec 3;12:CD013193. Epub 2018 Dec 3.

Institute of Applied Health Research, University of Birmingham, Birmingham, UK, B15 2TT.

Background: Early accurate detection of all skin cancer types is essential to guide appropriate management and to improve morbidity and survival. Melanoma and squamous cell carcinoma (SCC) are high-risk skin cancers which have the potential to metastasise and ultimately lead to death, whereas basal cell carcinoma (BCC) is usually localised with potential to infiltrate and damage surrounding tissue. Anxiety around missing early curable cases needs to be balanced against inappropriate referral and unnecessary excision of benign lesions. Read More

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December 2018
6 Reads

Smartphone applications for triaging adults with skin lesions that are suspicious for melanoma.

Cochrane Database Syst Rev 2018 Dec 3;12:CD013192. Epub 2018 Dec 3.

Institute of Applied Health Research, University of Birmingham, Birmingham, UK, B15 2TT.

Background: Melanoma accounts for a small proportion of all skin cancer cases but is responsible for most skin cancer-related deaths. Early detection and treatment can improve survival. Smartphone applications are readily accessible and potentially offer an instant risk assessment of the likelihood of malignancy so that the right people seek further medical attention from a clinician for more detailed assessment of the lesion. Read More

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December 2018
4 Reads

Telemental Health in Low- and Middle-Income Countries: A Systematic Review.

Int J Telemed Appl 2018 1;2018:9602821. Epub 2018 Nov 1.

Department of Clinical Medicine, Faculty of Health Sciences, The Arctic University of Norway (UiT), N-9037 Tromsø, Norway.

Introduction: The rising incidence of mental illness and its impact on individuals, families, and societies is becoming a major public health concern, especially in resource-constrained countries. Consequently, there is an increasing demand for mental health services in many middle- and low-income countries (LMIC). Challenges such as inequality in access, lack of staff and hospital beds, and underfunding, often present in the LMIC, might in part be addressed by telemental health services. Read More

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November 2018

Exporting Diabetic Retinopathy Images from VA VistA Imaging for Research.

J Digit Imaging 2018 Dec 3. Epub 2018 Dec 3.

Atlanta VA Health Care System, Decatur, GA, USA.

The US Department of Veterans Affairs has been acquiring store and forward digital diabetic retinopathy surveillance retinal fundus images for remote reading since 2007. There are 900+ retinal cameras at 756 acquisition sites. These images are manually read remotely at 134 sites. Read More

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December 2018
3 Reads

Over Half of Family Medicine Residency Program Directors Report Use of Telehealth Services.

Telemed J E Health 2018 Nov 28. Epub 2018 Nov 28.

2 Robert Graham Center , American Academy of Family Physicians, Washington, District of Columbia.

Background: Little is known about the adoption of telehealth services among family medicine residency programs.

Introduction: Using the 2015 Council of Academic Family Medicine Educational Research Alliance Program Directors Fall Survey section on telehealth, the authors investigated how residency programs used telehealth services during calendar year 2015.

Materials And Methods: The authors used bivariate analyses to examine how family medicine residency program characteristics vary by telehealth usage. Read More

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November 2018
4 Reads

Identification and Management of Middle Ear Disorders in a Rural Cleft Care Program: A Telemedicine Approach.

Am J Audiol 2018 Nov;27(3S):455-461

Department of Speech, Language & Hearing Science, Sri Ramachandra Medical College and Research Institute (Deemed to be University), Chennai, India.

Purpose: The aim of this study was to devise a grassroots-level strategy for identification and management of middle ear disorders in a community-based program for individuals with cleft lip and palate in 2 rural districts in the state of Tamil Nadu in South India.

Method: Community workers underwent training to conduct video otoscopy using the ENTraview device. Community workers conducted video otoscopy on 160 individuals with cleft lip and palate between 3 and 35 years old in the community. Read More

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November 2018
1 Read

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

J Med Internet Res 2018 Oct 24;20(10):e11871. Epub 2018 Oct 24.

Department of Dermatology, University Hospital Heidelberg, University of Heidelberg, Heidelberg, Germany.

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. Read More

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October 2018
2 Reads

Improving cooperation between general practitioners and dermatologists via telemedicine: study protocol of the cluster-randomized controlled TeleDerm study.

Trials 2018 Oct 24;19(1):583. Epub 2018 Oct 24.

University Hospital Tübingen, Institute for General Practice and Interprofessional Care, Osianderstraße 5, 72076, Tübingen, Germany.

Background: Internationally, teledermatology has proven to be a viable alternative to conventional physical referrals. Travel cost and referral times are reduced while patient safety is preserved. Especially patients from rural areas benefit from this healthcare innovation. Read More

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October 2018

Positive Predictive Value of Melanoma Diagnosis in Store-and-Forward Teledermatology.

Telemed J E Health 2018 Oct 17. Epub 2018 Oct 17.

4 VA Puget Sound Health Care System , Seattle, Washington.

Background: Although store-and-forward teledermatology (SFT) has demonstrated good diagnostic sensitivity for melanoma, little is known about the diagnostic precision (positive predictive value [PPV]).

Introduction: We conducted this investigation to ascertain the PPV of melanoma diagnosis among teledermatology readers.

Materials And Methods: We reviewed teledermatology consultations on 8,706 patients completed during the period February 1, 2015-January 31, 2016. Read More

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October 2018
7 Reads

Implementation and evaluation of Stanford Health Care store-and-forward teledermatology consultation workflow built within an existing electronic health record system.

J Telemed Telecare 2018 Oct 9:1357633X18799805. Epub 2018 Oct 9.

1 Department of Dermatology, Stanford School of Medicine, Stanford, CA, USA.

Introduction Teledermatology services that function separately from patients' primary electronic health record (EHR) can lead to fragmented care, poor provider communication, privacy concerns and billing challenges. This study addresses these challenges by developing PhotoCareMD, a store-and-forward (SAF) teledermatology consultation workflow built entirely within an existing Epic-based EHR. Methods Thirty-six primary care physicians (PCPs) from eight outpatient clinics submitted 215 electronic consults (eConsults) for 211 patients to a Stanford Health Care dermatologist via PhotoCareMD. Read More

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October 2018

Development of a store-and-forward telescreening system of diabetic retinopathy: lessons learned from Iran.

J Diabetes Metab Disord 2018 Jun 29;17(1):31-36. Epub 2018 May 29.

4Faculty of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.

Background: The present study describes the development and identity phases of a teleophthalmology system used for screening of diabetic retinopathy.

Methods: A questionnaire was used to identify the main factors necessary for diagnosis of diabetic retinopathy and the features required for a teleophthalmology system. In the second phase, a web-based prototype of the system was designed using the data collected in the previous phase. Read More

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June 2018
1 Read

Cost Analysis of a Store and Forward Teledermatology Consult System in Philadelphia.

J Am Acad Dermatol 2018 Oct 1. Epub 2018 Oct 1.

Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, 3600 Spruce Street, Philadelphia, PA 19104. Electronic address:

Background: Store-and-forward (SAF) teledermatology (TD) has the potential to increase access to timely, high-quality care for underserved populations. However, the cost-effectiveness of TD for underserved populations is uncertain.

Objective: This study evaluates the potential cost savings associated with a SAF TD program implemented for an underserved population in the city health clinics of urban Philadelphia. Read More

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October 2018
8 Reads

A Teledermatology Pilot Programme for the Management of Skin Diseases in Primary Health Care Centres: Experiences from a Resource-Limited Country (Mali, West Africa).

Trop Med Infect Dis 2018 Aug 17;3(3). Epub 2018 Aug 17.

Service de Dermatologie, Hôpital Pasteur, Colmar 68000, France.

In sub-Saharan Africa, in particular in rural areas, patients have limited access to doctors with specialist skills in skin diseases. To address this issue, a teledermatology pilot programme focused on primary health centres was set up in Mali. This study was aimed at investigating the feasibility of this programme and its impact on the management of skin diseases. Read More

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August 2018
3 Reads

Review of Use of Asynchronous Technologies Incorporated in Mental Health Care.

Curr Psychiatry Rep 2018 Aug 28;20(10):85. Epub 2018 Aug 28.

Department of Psychiatry, University of California, Davis, Davis, CA, USA.

Purpose Of Review: Mental health clinicians should understand how technologies augment, enhance, and provide alternate means for the delivery of mental healthcare. These technologies can be used asynchronously, in which the patient and the clinician need not be communicating at the same time. This contrasts with synchronous technologies, in which patient and clinician must communicate at the same time. Read More

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August 2018
6 Reads

Recent trends in teledermatology and teledermoscopy.

Dermatol Pract Concept 2018 Jul 31;8(3):214-223. Epub 2018 Jul 31.

Dermatology Research Centre, The University of Queensland Diamantina Institute, Translational Research Institute, Brisbane, Australia.

Teledermatology is a useful alternative where specialized dermatological assistance is not available and has been used successfully to support health professionals in a wide range of settings worldwide, in either an asynchronous store-and-forward format or a real-time video conferencing format. Teledermoscopy, which includes dermoscopic images in the teleconsultation, is another addition that improves remote assessments of pigmented lesions. A more recent variant is mobile teledermoscopy, which uses a smartphone to deliver the same type of service. Read More

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July 2018
7 Reads

Store-and-forward teledermatology service for primary care providers in Afghanistan.

Int J Dermatol 2018 11 2;57(11):e145-e147. Epub 2018 Aug 2.

Department of Dermatology, Emory University, Atlanta, GA, USA.

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November 2018
2 Reads

Position paper: Telemedicine in occupational dermatology - current status and perspectives.

J Dtsch Dermatol Ges 2018 Aug 11;16(8):969-974. Epub 2018 Jul 11.

Department of Dermatology, University Hospital Jena, Jena, Germany.

Teledermatology is the use of telecommunication technologies to exchange medical information for diagnosis, consultation, treatment and teaching in dermatology. While its use has been evaluated in a wide range of dermatological diagnoses, only few studies exist on its validity, diagnostic precision, feasibility, and cost-effectiveness in occupational dermatology. However, these studies show a considerable potential for diagnosis, prevention, treatment support and follow-up of patients with occupational skin diseases. Read More

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August 2018
16 Reads

Electronic consultation impact from the primary care clinician perspective: Outcomes from a national sample.

J Telemed Telecare 2018 Jan 1:1357633X18784416. Epub 2018 Jan 1.

2 University of California San Francisco, CA, USA.

Introduction Electronic consultations (eConsults) provide asynchronous, store-and-forward communication between primary care clinicians (PCCs) and specialists using web-based platforms, electronic health records or mobile applications. eConsults have demonstrated benefits in many areas of the Quadruple Aim, including educational value for PCCs. In this study, we explored the connection between eConsults and the Quadruple Aim using a unique national dataset of PCC-reported eConsult outcomes. Read More

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January 2018

Store-and-forward teledermatology for the most common skin neoplasms in Ukraine.

Acta Dermatovenerol Alp Pannonica Adriat 2018 Jun;27(2):79-83

Kharkiv Medical Academy of Postgraduate Education, Kyiv, Ukraine.

Background: Among all malignancies in Ukraine in 2016, the group of non-melanoma skin cancers headed the list in men and made up 21.6%. This group was second in women and made up 17. Read More

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June 2018
17 Reads

What do Australian dermatologists expect to be paid for store-and-forward teledermoscopy? A preliminary investigation.

J Telemed Telecare 2018 Jan 1:1357633X18776766. Epub 2018 Jan 1.

4 Dermatology Research Centre, The University of Queensland, Australia.

Introduction Determining appropriate remuneration for teledermoscopy service is important because inadequate remuneration can be a barrier to practitioner uptake and participation. This study explores dermatologist remuneration expectations for a single lesion store-and-forward teledermoscopy consultation. Methods Fourteen dermatologists participated in telephone interviews during May-June 2017. Read More

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January 2018

Attaining Mutual Goals in Telehealth Encounters: Utilizing King's Framework for Telenursing Practice.

Nurs Sci Q 2018 Jul;31(3):233-236

2 Director of Graduate Programs & Research Associate Professor, Binghamton University, Binghamton, NY, USA.

Access to essential health-promoting nursing care is increasingly facilitated through the expanding scope and capabilities provided through the utilization of telehealth technologies. Telehealth technologies facilitate the nursing process with clients at a distance in multiple ways, such as video conferencing, video conferencing with peripheral diagnostic tools, and store and forward modalities. Nursing care needs to remain the focus of care, but technology is a useful ancillary tool to help clients achieve health outcomes. Read More

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July 2018
5 Reads

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

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April 2018
3 Reads

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

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May 2018
2 Reads

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

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Practice Models in Teledermatology in Spain: Longitudinal Study, 2009-2014.

Actas Dermosifiliogr 2018 Sep 25;109(7):624-630. 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

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September 2018
1 Read

Multidisciplinary amyotrophic lateral sclerosis telemedicine care: The store and forward method.

Muscle Nerve 2018 May 26. Epub 2018 May 26.

Department of Neurology, University of Florida, Jacksonville, Florida, USA.

Introduction: Amyotrophic lateral sclerosis (ALS) patients benefit from multidisciplinary care in an ALS clinic. We studied whether multidisciplinary care of ALS patients using the store and forward method of telemedicine was feasible and acceptable to patients and providers.

Methods: ALS patients seen in the University of Florida (UF) Jacksonville ALS clinic were eligible for our study. Read More

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Store and forward teledermatology improves dermatology knowledge among referring primary care providers: A survey-based cohort study.

J Am Acad Dermatol 2018 Nov 10;79(5):960-961. Epub 2018 May 10.

Department of Internal Medicine, Division of Dermatology, Cambridge Health Alliance, Cambridge, Massachusetts.

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November 2018
4.450 Impact Factor

Patients' understanding of telemedicine terms required for informed consent when translated into Kiswahili.

BMC Public Health 2018 May 3;18(1):588. Epub 2018 May 3.

Department of TeleHealth, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.

Background: In Africa, where access to specialist medical services is often limited, telemedicine, the use of information and communication technologies for the provision of healthcare at a distance, can contribute towards enhancing access to healthcare. Informed consent is considered the cornerstone of ethical practice, especially when technology and techniques are considered new and or unproven. It is advised that informed consent should be gained in the patient's mother tongue. Read More

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May 2018
1 Read

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

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April 2018
2 Reads

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 Nov 23;59(4):315-317. 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

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November 2018
1 Read

Telemedicine for Neurotrauma in Albania: Initial Results from Case Series of 146 Patients.

World Neurosurg 2018 Apr 2;112:e747-e753. Epub 2018 Feb 2.

Department of Surgery, Westchester Medical Center Health Network and New York Medical College, Valhalla, New York, USA.

Background: Use of telemedicine for neurotrauma when performed by neurosurgeons is an innovative care option for traumatic brain injury patients, particularly in countries with limited neurosurgery expertise resources. In recent years, Albania has developed a robust telemedicine program and teleneurotrauma is the flagship of the program. We aimed to evaluate the outcomes of the first neurotrauma patients managed via telemedicine in Albania. Read More

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April 2018
8 Reads
2.420 Impact Factor

Teledermatology in the United States: An Update in a Dynamic Era.

Telemed J E Health 2018 Sep 22;24(9):691-697. Epub 2018 Jan 22.

4 Lahey Clinic Department of Dermatology, Harvard Medical School , Burlington, Massachusetts.

Background: Teledermatology is rapidly advancing in the United States. The last comprehensive survey of U.S. Read More

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September 2018
4 Reads
1 Citation
1.540 Impact Factor

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

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April 2018
1 Read

School-Based Telemedicine: Perceptions About a Telemedicine Model of Care.

Stud Health Technol Inform 2017 ;245:1239

Health Systems, School of Population Health, University of Auckland, Auckland, New Zealand.

A school-based store-and-forward telemedicine program, which is delivered to school children by school staff is an acceptable model of care for treating skin infections. This indicates that non-clinicians have potential to play a key role in telemedicine. Benefits include empowerment and role redefinition of staff, and potential improvements in health awareness of children, with no major issues perceived in the current program. Read More

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June 2018
2 Reads

A systematic review of prehospital telehealth utilization.

J Telemed Telecare 2018 Aug 22;24(7):473-481. Epub 2017 Jun 22.

The University of Texas Health Science Center, USA.

Objective There has been moderate evidence of telehealth utilization in the field of emergency medicine, but less is known about telehealth in prehospital emergency medical services (EMS). The objective of this study is to explore the extent, focus, and utilization of telehealth for prehospital emergency care through the analysis of published research. Methods The authors conducted a systematic literature review by extracting data from multiple research databases (including MEDLINE/PubMed, CINAHL Complete, and Google Scholar) published since 2000. Read More

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August 2018
5 Reads

Teleophthalmology in Practice: Lessons Learned from a Pilot Project.

Open Med Inform J 2017 22;11:20-28. Epub 2017 Aug 22.

Farabi Eye Hospital, Eye Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Introduction: Ophthalmology is a medical specialty which may benefit from using telemedicine and teleophthalmology services. Such services are significantly important in the poor, remote, and impassable geographical areas, where there is no access to the ophthalmology services and ophthalmologists. This study aimed to design and implement a teleophthalmology system using the method of store-and-forward. Read More

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August 2017
11 Reads
1 Citation

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 02 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

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February 2018
5 Reads

Transmission delay performance in telemedicine: A case study.

Conf Proc IEEE Eng Med Biol Soc 2017 07;2017:3723-3727

Given the prevalence of chronic health conditions, such as diabetes, obesity, epilepsy, and cardiovascular diseases, telemedicine technologies are increasingly adopted to help patients better manage their care and treat these diseases at home. These emerging telemedicine systems have been deployed and tested in a number of different health programs and hospitals. However, due to the lack of dedicated and reliable networking infrastructure, achieving real-time data collection is very challenging task. Read More

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July 2017
7 Reads

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

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September 2017
2 Reads

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 02 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

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February 2018
11 Reads

Usability, Acceptability, and Impact of a Pediatric Teledermatology Mobile Health Application.

Telemed J E Health 2018 03 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

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March 2018
13 Reads

Community triage of otology patients using a store-and-forward telemedicine device: A feasibility study.

Ear Nose Throat J 2017 Jul;96(7):246-249

Department of ENT, Dr. Shroff's Charity Eye Hospital, 5027 Kedar Nath Rd., Daryaganj, New Delhi 110002, India.

Chronic otitis media is a major contributor to acquired hearing loss in developing countries. Developing countries such as India, with huge populations and poor health infrastructures, have always felt the shortage of trained specialists who can provide quality care to meet the enormous demand for treatment of this disease. This pilot study assessed the feasibility of empowering trained health workers equipped with ENTraview, a store-and-forward telemedicine device that integrates a camera- enabled smart phone with an otoscope. Read More

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July 2017
4 Reads

The Current State of Teleophthalmology in the United States.

Ophthalmology 2017 12 21;124(12):1729-1734. Epub 2017 Jun 21.

New York University (NYU) Langone Eye Center, NYU Langone Medical Center, Department of Ophthalmology, NYU School of Medicine, New York, New York; Department of Neuroscience and Physiology, NYU Langone Medical Center, NYU School of Medicine, New York, New York; Department of Electrical and Computer Engineering, NYU Tandon School of Engineering, Brooklyn, New York. Electronic address:

Telemedicine services facilitate the evaluation, diagnosis, and management of the remote patient. Telemedicine has rapidly flourished in the United States and has improved access to care, outcomes, and patient satisfaction. However, the use of telemedicine in ophthalmology is currently in its infancy and has yet to gain wide acceptance. Read More

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December 2017
35 Reads

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

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October 2017
24 Reads

Diagnosis and Management of Malignant Melanoma in Store-and-Forward Teledermatology.

Telemed J E Health 2017 11 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

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November 2017
5 Reads

[Cost-effectiveness of Synchronous vs. Asynchronous Telepsychiatry in Prison Inmates With Depression].

Rev Colomb Psiquiatr 2017 Apr - Jun;46(2):65-73. Epub 2016 May 31.

Departamento de Salud Pública, Grupo de Investigación, Promoción de Salud y Prevención de la Enfermedad, Universidad de Caldas, Manizales, Colombia.

Introduction: Telepsychiatry is defined as the use of information and communication technology (ICT) in providing remote psychiatric services. Telepsychiatry is applied using two types of communication: synchronous (real time) and asynchronous (store and forward).

Objective: To determine the cost-effectiveness of a synchronous and an asynchronous telepsychiatric model in prison inmate patients with symptoms of depression. Read More

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March 2018
4 Reads

Legal Mapping Analysis of State Telehealth Reimbursement Policies.

Telemed J E Health 2017 10 21;23(10):805-814. Epub 2017 Apr 21.

2 Graduate School of Public Health and Health Policy, City University of New York , New York, New York.

Background: There exists rapid growth and inconsistency in the telehealth policy environment, which makes it difficult to quantitatively evaluate the impact of telehealth reimbursement and other policies without the availability of a legal mapping database.

Introduction: We describe the creation of a legal mapping database of state-level policies related to telehealth reimbursement of healthcare services. Trends and characteristics of these policies are presented. Read More

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October 2017
1 Read

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

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July 2017
13 Reads