Scheinfeld Noah, Fisher Michael, Genis Paul, Long Heather
The Department of Dermatology, St. Luke's-Roosevelt Hospital Center, 1090 Amsterdam Avenue, Suite 11D, New York, NY 10025, USA.
Skinmed. 2003 May-Jun;2(3):159-62. doi: 10.1111/j.1540-9740.2003.02187.x.
A teledermatology system was established in a dermatology urgent-care clinic staffed by dermatology residents in the emergency department. These residents had previously lacked attending dermatology supervision.
Resident physicians took digital pictures of patients' lesions and downloaded the images onto a network personal computer (PC). The images were stored on the hospital's server and then viewed within 5 minutes by an attending dermatologist, in a different location, using a network PC with monitor. Resident and attending physicians discussed the cases over the telephone. Patient acceptance was assessed via separate written surveys. Fifty-one patients, approximately 10 resident physicians, and two attending dermatologists participated in the study.
Patient acceptance of the teledermatology system was high (93%). Teledermatology may prove a viable means of evaluating dermatologic complaints in the emergency department.
在急诊科由皮肤科住院医师坐诊的皮肤科紧急护理诊所建立了一个远程皮肤病学系统。这些住院医师此前缺乏皮肤科主治医生的监督。
住院医师拍摄患者皮损的数码照片，并将图像下载到网络个人计算机（PC）上。图像存储在医院服务器上，然后由另一个地点的皮肤科主治医生使用带显示器的网络PC在5分钟内查看。住院医师和主治医生通过电话讨论病例。通过单独的书面调查评估患者的接受度。51名患者、约10名住院医师和两名皮肤科主治医生参与了该研究。
患者对远程皮肤病学系统的接受度很高（93%）。远程皮肤病学可能是评估急诊科皮肤病主诉的一种可行方法。
