See Adrian, Lim Adrian C, Le Katie, See Jo-Ann, Shumack Stephen P
St George Dermatology and Skin Cancer Centre, Kogarah, New South Wales, Australia.
Australas J Dermatol. 2005 Aug;46(3):144-9. doi: 10.1111/j.1440-0960.2005.00166.x.
From January 2001 to January 2002, Broken Hill, New South Wales, served as a trial site for teledermatology as one method of access to dermatologists. Fourteen participating general practitioners referred 46 patients making up 48 teledermatology cases. The mean diagnostic agreement between general practitioners and dermatologists was 35% and 50% for primary and differential diagnoses, respectively. Teledermatology patients formed 12% of the collectively referred dermatology patients (outpatients and teledermatology). In this project, high patient and general practitioner acceptability and positive medical outcomes confirm the value of rural teledermatology. However, this project also revealed unexpected barriers and pitfalls in the effective operation of rural teledermatology. Lack of education of participants, inertia among potential users and patient inconvenience are issues that may adversely affect the effective implementation of rural teledermatology.
2001年1月至2002年1月，新南威尔士州的布罗肯希尔作为远程皮肤病学的一个试验地点，这是一种联系皮肤科医生的方式。14名参与的全科医生转诊了46名患者，构成48例远程皮肤病学病例。全科医生与皮肤科医生之间关于初步诊断和鉴别诊断的平均诊断一致性分别为35%和50%。远程皮肤病学患者占转诊的皮肤科患者（门诊患者和远程皮肤病学患者）总数的12%。在这个项目中，患者和全科医生的高接受度以及积极的医疗结果证实了农村远程皮肤病学的价值。然而，这个项目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缺陷。参与者缺乏教育、潜在用户的惰性以及患者的不便都是可能对农村远程皮肤病学的有效实施产生不利影响的问题。
