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Teledermatology: Case selection and consultation “Technology is best when it brings patient–Physician together.”
oleh: Garehatty Rudrappa Kanthraj
Format: | Article |
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Diterbitkan: | Wolters Kluwer Medknow Publications 2023-01-01 |
Deskripsi
Teledermatology consultation (TC) is an effective, safe, and fast medium to reach one who is difficult to reach. The scope of TC is triage, diagnosis, counseling, and follow-up care. Feasibility studies for diagnosis and follow-up care by TC are analyzed. Teledermatology has been extensively evaluated in terms of diagnostic accuracy with respect to teledermatology tools, clinical outcomes, patient and provider satisfaction, and costs. Follow-up care by TC in cutaneous, esthetic surgeries and lasers is documented and widely used. We review and analyze the commonalities and differences between diagnosis and follow-up care using TC. There is a need to define case selection for TC. A dermatologist has to select an appropriate case and define the purpose for TC. A case with characteristic morphology and distribution of diagnosis is performed by TC. Follow-up care is provided by TC for cases with longer duration with remission and exacerbation. Interpretation of multiple patch test readings is performed by TC. Initial in-person examination is followed by TC to provide follow-up care. Various clinical situations and technical factors TC should not be offered are analyzed. A dermatologist should be aware of these clinical situations and technical factors and offer TC. Store-and-forward teledermatology and mobile messenger apps (e.g., WhatsApp) are commonly used to perform capture, transfer, and store clinical images. A dermatologist should realize providing follow-up care is one of the most important scopes of TC. Patient and physician satisfaction is best achieved for follow-up care. Further studies are needed in this area.