Teledermatology—A Hitherto Underestimated Tool in Occupational Medicine—Indications and Limitations

Baumeister, Thomas; Drexler, Hans; Kütting, Birgitta

doi:10.1539/joh.49.504

Cited by 11 publications

(8 citation statements)

References 16 publications

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“…12 The dermatoses require MT for screening and triage, the purpose of diagnoses and screening a dermatoses needs SAFT, follow-up care can be provided by SAFT or MT and counseling and education needs VC or HT. [88][89][90][91][92][93][94][95] The most common purpose of teledermatology is diagnosis. The use of SAFT is common in all application areas of TDP.…”

Section: Design Of a Teledermatology Practicementioning

confidence: 99%

Classification and design of teledermatology practice: What dermatoses? Which technology to apply?

Kanthraj¹

2009

Acad Dermatol Venereol

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Dermatologists are mostly confined to urban regions and rural population is deprived of specialist care. Teledermatology Practice (TDP) is a solution to overcome this global problem. Tools for TDP includes video conference, store and forward, hybrid, mobile, satellite communication, integration model, nurse-led teledermatology, teledermatology focusing on difficult-to-manage cases, teledermoscopy, and teledermatopathology with combined applications. This article reviews the feasibility studies focusing teledermatology tools and analyses the possible options in designing TDP. Categorizing dermatoses for TDP depends on the purpose and types of technology. The dermatoses presenting from a remote geographic regions requires any of the following approaches (i) only TDP, (b) initial TDP followed by face-to-face, (iii) initial face-to-face followed by TDP and (iv) only face-to-face examination. The technology should suit the dermatoses, meet the purpose, be cost-effective and provide better management with follow-up care. We recommend store and forward as a basic TDP model as most dermatoses are diagnosed and follow-up care is delivered. Leprosy, pigmented skin lesions, leg ulcers, HIV and endemic dermatoses require screening and triage services using mobile teledermatology. Counselling and education require videoconference. Rural dermatology's camps require satellite communication mounted on a vehicle. Objective assessment (vitiligo and leg ulcer) after treatment requires integration model at a tertiary centre. Difficult-to-manage cases require second opinion using hybrid/store and forward TDP. Lower rural centre are provided with mobile/ store and forward teledermatology services. Selected or major community centre should be equipped with hybrid teledermatology and linked to a tertiary centre. This process helps healthcare administration to plan a TDP to cover all dermatoses, utilizing the available health care professional (HCP) and technology with minimum budget investment.

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Section: Design Of a Teledermatology Practicementioning

confidence: 99%

Classification and design of teledermatology practice: What dermatoses? Which technology to apply?

Kanthraj¹

2009

Acad Dermatol Venereol

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“…Apart from three randomized controlled trials (11, 31, 32), all were cross‐sectional comparative studies. Many of these studies were focussed solely on malignant skin lesions (10, 20, 21, 33–37) or dealt with a range of cutaneous diseases typical of an outpatient clinic or a dermatologic ward (6, 10, 11, 18, 24–26, 38, 39). The results of most publications were favourable with regard to teledermatology.…”

Section: Discussionmentioning

confidence: 99%

“…Teledermatology is the practice of dermatology when the dermatologist and the patient are not present at the same place and/or at the same time. This method has been shown to be a feasible (1–3), cost effective (4) and for the patients beneficial method (5–10) to bring dermatological knowledge to remote (5,11, 12) and underserved areas (4, 13–18). The main emphasis has been on the screening of pigmented, potentially malignant skin lesions (10, 19, 20), triage aspects (21–23) and chronic wound care (2).…”

mentioning

confidence: 99%

Prevention of work‐related skin diseases: teledermatology as an alternative approach in occupational screenings

et al. 2009

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“…The benefit of SAF teledermatology in occupational health care was demonstrated in a case series of railroad workers . By bringing in dermatological expertise, it was possible to identify skin lesions occurring at the workplace as phototoxic reactions and to eliminate the hazard by reducing the exposure and implementing protective measures.…”

Section: Telemedicine In Occupational Dermatology: Current Statusmentioning

confidence: 99%

Position paper: Telemedicine in occupational dermatology – current status and perspectives

Elsner

Bauer

Diepgen

et al. 2018

J Deutsche Derma Gesell

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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. Asynchronous (store and forward; SAF) or synchronous dermatology teleconsults could assist occupational medicine specialists not only in occupational preventive care, but also in the context of skin cancer screening in outdoor workers. Thus, teledermatology might contribute to earlier prevention and notification of occupational skin diseases. Modern smartphone apps with artificial intelligence technologies may also facilitate self-monitoring in employees working in high-risk jobs.

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Teledermatology—A Hitherto Underestimated Tool in Occupational Medicine—Indications and Limitations

Cited by 11 publications

References 16 publications

Classification and design of teledermatology practice: What dermatoses? Which technology to apply?

Classification and design of teledermatology practice: What dermatoses? Which technology to apply?

Prevention of work‐related skin diseases: teledermatology as an alternative approach in occupational screenings

Position paper: Telemedicine in occupational dermatology – current status and perspectives

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