Benefits and Risks of Teledermatology | Dermatology

Teledermatology

Overview of the teledermatology

Teledermatology is a subspecialty in the medical field of dermatology and is probably one of the most common applications of telemedicine and e-health. In teledermatology, telecommunications technologies are used to exchange medical information (about skin diseases and tumors). Distance through audio, visual, and data communication. Applications include healthcare management such as diagnosis, consultation, and treatment as well as (continuing) education.

Dermatologists perennial and brown coined the term “teledermatology” in 1995. In a scientific publication, they described the value of teledermatology service in a rural area less recognized by dermatologists.

Applied teledermatology

Teledermatology is used in virtually all aspects of health care delivery except for direct patient contact. Due to the virtual nature of this clinical specialty, the role of teledermatology is very useful in the following areas, which are only in the non-clinical areas after teleradiology and telepathology.

  • Reference
  • Consultations
  • Diagnostic
  • Treatment
  • Review

Reference: The time required for paging is very short compared to traditional forwarding. Tele-referrals have the advantage of accessing a consultant/specialist regardless of the distance between the doctor/nurse and the tile consultant.

Tele-consult: Despite the relatively new terminology, teleconsultation has been around for many years. Technically, calling a doctor on the phone for advice is also in the field of teleconsultation. However, in recent years, this has been compounded by the participation of physicians in live teleconferences or as spectators at the operating table.

Under normal circumstances, the telephone network will be used for voice, fax, and data transmissions, while ethernet networks will be the general priority in more difficult situations.

Tele-diagnosis: In remote diagnosis, the doctor assesses without the physical examination he has performed, however, based on data transmitted from a remote location. It could be general photography, histopathology slides, dermoscopy, and other research results.

Tele-treatment: Teletherapy refers to the treatment that is given to the patient through telecommunications. A teledermatology specialty center specialist can consult with a consulting physician at TM Consulting, a center that maintains a patient information record (PIR) on the treatment to be taken.

PIR refers to all patient information for providing care using teledermatology, including clinical and non-clinical information. Clinical information history of illness, associated signs and symptoms, relevant history and history of treatment if applicable, clinical observations, clinical intervention, diagnosis, and treatment, etc.

Non-clinical information related to the patient, such as patient environment, demographic information, lifestyle, nature, and professional or related personal details

Review and follow up: This makes it much easier for the patient and the physician to follow up by teleconsultation after the patient has been prescribed/treated (medical or surgical) for a specific condition by face-to-face or by teleconsultation. This saves time and travel rather than ensuring the best treatment result.

All PIRs, which are periodically updated through regular examinations by the attending physician/health worker, are communicated by telecom to the consultant who follows the patient directly or through the referring health worker. The acceptance of teledermatological monitoring of leg ulcers is very high among patients, home nurses, and trauma specialists.

It seems possible to reduce health care costs and improve the standard of living of patients with leg ulcers using teledermatology by reducing the number of visits to injury centers or specialist physicians. It is highly effective in treating leg ulcers.

Mobile teledermatology

Mobile telemedicine is a system in which at least one participant (consultant or physician) uses wireless or mobile devices (i.e. mobile phones, handheld devices), as opposed to fixed telemedicine platforms traditional.

Travelers who develop skin lesions, as well as physicians traveling to hospital / non-hospital areas, can benefit from this new development in teledermatology. To facilitate access to medical advice and allow individuals to play a more active role in maintaining their own state of health, mobile teledermatology is particularly suitable for the screening or treatment of patients (i.e. the reference depending on the severity and role of their skin condition).

Another handy app for tracking people with chronic skin conditions. However, currently available studies show a high rate of missing skin cancers, including melanoma, and there is no strong enough data to recommend this diagnostic method.

A practical guide for teledermatology

The first guidelines were issued by the American Telemedicine Association in 2007 and were then updated in 2016 to reflect new knowledge and new technologies. Guidelines have been developed to standardize the practice of telemedicine, guarantee the quality of the service and the appropriate care by physicians.

Each guideline panel was supervised by experts from a specific field of study. The development process is based on professional consensus and rigorous review. Guidelines have been developed for individual providers, group and specialty practice, hospitals, and health care systems when providing services through information and communication technology.

The guidelines cover clinical practice, technical requirements, and administrative aspects of service delivery. The guidelines refer to three types of query commonly used in teledermatology: store and forward, real-time video conferencing, and the hybrid mentioned above.

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