Lim A C, See A C, Shumack S P
Department of Dermatology, St George Hospital, Kogarah, New South Wales, Australia.
J Telemed Telecare. 2001;7 Suppl 2:55-9. doi: 10.1258/1357633011937146.
Because of their remoteness, the majority of rural towns in Australia are disadvantaged in terms of access to dermatological services. Telemedicine offers one solution. Since the mid-1990s, Australian dermatologists have experimented with telemedicine as an adjunct to clinical practice. The technical viability of teledermatology was first demonstrated in 1997. In 1999, the accuracy and reliability of teledermatology were demonstrated in a real-life urban setting. In 2001, Broken Hill (in western New South Wales), a location remote from dermatology services, served as a trial site for the institution of teledermatology as the primary method of accessing dermatological services. High patient and general practitioner acceptability and positive medical outcomes were demonstrated, but the study also revealed unexpected barriers and pitfalls in the effective operation of rural teledermatology.
由于地处偏远，澳大利亚大多数乡村城镇在获得皮肤科服务方面处于不利地位。远程医疗提供了一种解决方案。自20世纪90年代中期以来，澳大利亚皮肤科医生一直在试验将远程医疗作为临床实践的辅助手段。远程皮肤病学的技术可行性于1997年首次得到证明。1999年，远程皮肤病学的准确性和可靠性在实际城市环境中得到了证明。2001年，远离皮肤科服务的新南威尔士州西部的布罗肯希尔成为将远程皮肤病学作为获取皮肤科服务的主要方法的试点地区。结果表明患者和全科医生的接受度很高，医疗效果良好，但该研究也揭示了农村远程皮肤病学有效运作中意想不到的障碍和陷阱。
