Mobile teledermatology: a feasibility study of 58 subjects using mobile phones
Mobile teledermatology: a feasibility study of 58 subjects using mobile phones
复制标题
DOI：
10.1258/jtt.2007.070302
复制
发表时间：
2008-01-01
影响因子：
4.7
通讯作者：
Soyer, H. Peter
中科院分区：
文献类型：
--
作者：
Ebner, Christoph;Wurm, Elisabeth M. T.;Soyer, H. Peter
我们调查了基于手机相机图像的远程皮肤科和面对面（FTF）皮肤科之间的诊断一致性。两名远程皮肤科医生（TD）与58名受试者的FTF咨询进行比较，评估诊断协议。在近四分之三的病例中（TD1: 71%; TD2: 76%），远程诊断与FTF诊断完全一致。此外，诊断的疾病几乎都属于同一诊断类别（TD1: 97%; TD2: 90%）。如果使用移动远程皮肤科进行远程分诊，TD1可以远程治疗53%的受试者，47%的受试者需要咨询皮肤科医生；FTF TD2可以远程治疗59%的受试者，而41%的受试者需要咨询皮肤科医生；FTF 48名受试者回答了一份问卷，其中只有10名受试者对远程皮肤科有任何担忧。31名受试者表示，他们愿意为将来使用类似的服务付费，并建议每次咨询的费用在5至50欧元之间（平均值为22）（平均值为0.7英镑，1.4美元）。这些结果令人鼓舞，因为患者的接受程度和报销是实施远程医疗服务的潜在障碍。
We investigated the diagnostic agreement between teledermatology based on images from a mobile phone camera and face-to-face (FTF) dermatology. Diagnostic agreement was assessed for two teledermatologists (TD) in comparison with FTF consultations in 58 subjects. In almost three-quarters of the cases (TD1: 71%; TD2: 76%), the telediagnosis was fully concordant with the FTF diagnosis. Furthermore, the diagnosed diseases were almost all in the same diagnostic category (TD1: 97%; TD2: 90%). If mobile teledermatology had been used for remote triage, TD1 could have treated 53% subjects remotely and 47% subjects would have had to consult a dermatologist FTF TD2 could have treated 59% subjects remotely, whereas 41% subjects would have had to consult a dermatologist FTF Forty-eight subjects responded to a questionnaire, of whom only 10 had any concerns regarding teledermatology. Thirty-one subjects stated that they would be willing to pay to use a similar service in future and suggested an amount ranging from E5 to E50 per consultation (mean is an element of 22) (is an element of E = 0.7 pound, US $1.4). These results are encouraging as patient acceptance and reimbursement represent potential obstacles to the implementation of telemedicine services.