Mobile Teledermatology in Sub-Saharan Africa: A Useful Tool in Supporting Health Workers in Low-resource Centres

Frühauf, Julia; Hofman-Wellenhof, Rainer; Kovarik, Carrie L.; Mulyowa, G.; Alitwala, C.; Soyer, H. Peter; Kaddu, Steven

doi:10.2340/00015555-1404

Cited by 31 publications

(15 citation statements)

References 8 publications

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“…The results of these studies are so encouraging that new techniques and methods have recently been developed, e.g. the idea of using mobile phone technology in TD (3,(24)(25)(26)(27)(28)(29)(30)(31)(32). Mobile phone technology offers portability and the convenience of capturing clinical images and history on a single mobile device and transmitting them to the consulting dermatologist without the need of a computer.…”

Section: Discussionmentioning

confidence: 93%

Concordance and Time Estimation of Store-and-forward Mobile Teledermatology Compared to Classical Face-to-face Consultation

Nami

Massone²,

Rubegni³

et al. 2015

Acta Derm Venerol

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Smartphones have overcome the limitations of image quality seen in older devices and opened a new field of telemedicine called "mobile teledermatology". Technological advances and the need to reduce health service costs will strongly promote the development of telemedicine. For this reason, we evaluated the concordance between store-and-forward mobile teledermatology and the classical face-to-face dermatological visit. We also measured the time taken to submit a teleconsultation using a smartphone. Before conventional face-to-face visit, a final-year resident of the three-year course for general practitioners collected medical history, took digital images of skin diseases with a smartphone and, measuring the time required to complete this operation, transmitted them to an expert teledermatologist. In 391 patients we obtained a concordance between face-to-face and store-and-forward diagnosis of 91.05% (Cohen κ coefficient = 0.906). On average only few minutes needs to be added to a normal visit to transmit the cases to an expert teledermatologist.

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Section: Discussionmentioning

confidence: 93%

Concordance and Time Estimation of Store-and-forward Mobile Teledermatology Compared to Classical Face-to-face Consultation

Nami

Massone²,

Rubegni³

et al. 2015

Acta Derm Venerol

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“…Feasibility and applicability studies in Egypt and Uganda have demonstrated the possibilities of mobile tele-dermatology to improve diagnostic rates of dermatological conditions (17, 42). Larger scale studies are still needed, because of the small sample size in both studies ( n =30 in Egypt and n =72 in Uganda).…”

Section: Resultsmentioning

confidence: 99%

Assessing the impact of mHealth interventions in low- and middle-income countries – what has been shown to work?

Hall

Fottrell

Wilkinson

et al. 2014

Global Health Action

339

274

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BackgroundLow-cost mobile devices, such as mobile phones, tablets, and personal digital assistants, which can access voice and data services, have revolutionised access to information and communication technology worldwide. These devices have a major impact on many aspects of people's lives, from business and education to health. This paper reviews the current evidence on the specific impacts of mobile technologies on tangible health outcomes (mHealth) in low- and middle-income countries (LMICs), from the perspectives of various stakeholders.DesignComprehensive literature searches were undertaken using key medical subject heading search terms on PubMed, Google Scholar, and grey literature sources. Analysis of 676 publications retrieved from the search was undertaken based on key inclusion criteria, resulting in a set of 76 papers for detailed review. The impacts of mHealth interventions reported in these papers were categorised into common mHealth applications.ResultsThere is a growing evidence base for the efficacy of mHealth interventions in LMICs, particularly in improving treatment adherence, appointment compliance, data gathering, and developing support networks for health workers. However, the quantity and quality of the evidence is still limited in many respects.ConclusionsOver all application areas, there remains a need to take small pilot studies to full scale, enabling more rigorous experimental and quasi-experimental studies to be undertaken in order to strengthen the evidence base.

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“…It was reported that the diagnostic accuracy and adequacy of management decisions made via MMS referrals were similar to store-and-forward teledermatology systems. Such a system could be particularly useful in rural centres where access to dermatology services may be limited, a possibility previously studied in third world countries [15]. However, there are several limitations to an MMS referral system, including poor picture quality, privacy and consent issues surrounding the storage of photos on private cameras, and the inability of a single photo to substitute for a comprehensive skin examination.…”

Section: Discussionmentioning

confidence: 99%

Which Dermatological Conditions Present to an Emergency Department in Australia?

Lai-Kwon

Weiland

Chong

et al. 2014

Emergency Medicine International

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Background/Objectives. There is minimal data available on the types of dermatological conditions which present to tertiary emergency departments (ED). We analysed demographic and clinical features of dermatological presentations to an Australian adult ED. Methods. The St. Vincent's Hospital Melbourne (SVHM) ED database was searched for dermatological presentations between 1 January 2009 and 31 December 2011 by keywords and ICD-10 diagnosis codes. The lists were merged, and the ICD-10 codes were grouped into 55 categories for analysis. Demographic and clinical data for these presentations were then analysed. Results. 123 345 people presented to SVHM ED during the 3-year period. 4817 (3.9%) presented for a primarily dermatological complaint. The most common conditions by ICD-10 diagnosis code were cellulitis (n = 1741, 36.1%), allergy with skin involvement (n = 939, 19.5%), boils/furuncles/pilonidal sinuses (n = 526, 11.1%), eczema/dermatitis (n = 274, 5.7%), and varicella zoster infection (n = 161, 3.3%). Conclusion. The burden of dermatological disease presenting to ED is small but not insignificant. This information may assist in designing dermatological curricula for hospital clinicians and specialty training organisations as well as informing the allocation of dermatological resources to ED.

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Mobile Teledermatology in Sub-Saharan Africa: A Useful Tool in Supporting Health Workers in Low-resource Centres

Cited by 31 publications

References 8 publications

Concordance and Time Estimation of Store-and-forward Mobile Teledermatology Compared to Classical Face-to-face Consultation

Concordance and Time Estimation of Store-and-forward Mobile Teledermatology Compared to Classical Face-to-face Consultation

Assessing the impact of mHealth interventions in low- and middle-income countries – what has been shown to work?

Which Dermatological Conditions Present to an Emergency Department in Australia?

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