Impact of Live Interactive Teledermatology on Diagnosis, Disease Management, and Clinical Outcomes

Lamel, Sonia A.; Chambers, Cindy J.; Ratnarathorn, Mondhipa; Armstrong, April W.

doi:10.1001/archdermatol.2011.1157

Cited by 50 publications

(47 citation statements)

References 27 publications

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“…In an analysis of 1,500 live interactive teledermatology consultations in California, changes in diagnoses were made in 70% of patients and changes in management were made in 98% of patients. Among patients with more than one teledermatology visit, ~70% improved clinically (53). In a study in the United Kingdom, pediatric otolaryngology consultations by telemedicine were shown to be feasible and to reduce costs by 30% when compared to face-to-face visits (54).…”

Section: Subspecialty Carementioning

confidence: 99%

Addressing health disparities in rural communities using telehealth

2015

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The regionalization of pediatric services has resulted in differential access to care, sometimes creating barriers to those living in underserved, rural communities. These disparities in access contribute to inferior healthcare outcomes among infants and children. We review the medical literature on telemedicine and its use to improve access and the quality of care provided to pediatric patients with otherwise limited access to pediatric subspecialty care. We review the use of telemedicine for the provision of pediatric subspecialty consultations in the settings of ambulatory care, acute and inpatient care, and perinatal and newborn care. Studies demonstrate the feasibility and efficiencies gained with models of care that use telemedicine. By providing pediatric subspecialty care in more convenient settings such as local primary care offices and community hospitals, pediatric patients are more likely to receive care that adheres to evidence-based guidelines. In many cases, telemedicine can significantly improve provider, patient, and family satisfaction, increase measures of quality of care and patient safety, and reduce overall costs of care. Models of care that use telemedicine have the potential to address pediatric specialists' geographic misdistribution and address disparities in the quality of care delivered to children in underserved communities.

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Section: Subspecialty Carementioning

confidence: 99%

Addressing health disparities in rural communities using telehealth

2015

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“…A maior parte da literatura publicada [11][12][13][14][15][16][17][18][20][21][22][23][24] fornece evidência favorável à teledermatologia. No entanto, os estudos da teledermatologia são, em geral, limitados pelo tamanho das amostras, qualidade da internet, fotos e telefonia, e, além disso, os resultados não são bem definidos.…”

Section: Discussionunclassified

“…Outros autores 12 acreditam que a teledermatologia por VC . Nessa revisão (Tabela 1), a maior parte da literatura publicada [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] fornece evidência favorável à teledermatologia, mas inferior à da consulta presencial 19 . Observou-se que a acurácia ou concordância do diagnóstico foram superiores na consulta presencial em relação à teledermatologia pelo sistema SAF.…”

Section: Discussionunclassified

“…Vários estudos [10][11][12][13][14][15] A teledermatologia envolve alteração na carga horária de trabalho (financiamento para técnico da teledermatologia, treinamento de médicos não dermatologistas da atenção primária em saúde e para dermatologistas) e o suporte contínuo é crítico. Os médicos não dermatologistas devem ser treinados para examinar toda a pele e enviar várias imagens, pois grande parte dos cânceres de pele é encontrada em outras áreas não referidas pelo paciente, e a avaliação de uma lesão poderá estar relacionada ao subdiagnóstico.…”

Section: Discussionunclassified

“…Em resumo, observou-se eficiência, satisfação dos pacientes e custos menores [10][11][12][13][14][15][16][17] . Entretanto, há deficiência de informação sobre o manejo da doença e os resultados clínicos.…”

Section: Discussionunclassified

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