Knol A, van den Akker Th W, Damstra R J, de Haan J
J Telemed Telecare. 2006;12(2):75-8. doi: 10.1258/135763306776084365.
During a two-year study, 505 teledermatology consultations were carried out on 503 patients of 29 participating general practitioners (GPs) in the province of Friesland. One overview and two detail digital photographs of the skin problems were taken on a digital camera and attached to an email message containing standard clinical information. These email messages were sent to a dermatologist, who replied by email after evaluation. After a median follow-up time of 548 days, the GPs were interviewed about the dermatological referrals. The reduction in referrals was 51% (0.95 confidence interval = 47-58%) when the GP had the intention to refer. When the GPs had no intention to refer, there turned out to be a secondary traditional consultation in 17% of cases. The reduction of 51% of referrals after store-and-forward teledermatology consultation was similar to that seen in other studies of videoconferencing. Consultation using digital store-and-forward teledermatology by the GP can halve the number of referrals to a dermatologist for selected patients.
在一项为期两年的研究中，弗里斯兰省29名参与研究的全科医生（GP）为503名患者进行了505次远程皮肤病学会诊。用数码相机拍摄了皮肤问题的一张概述照片和两张细节数码照片，并将其附在包含标准临床信息的电子邮件中。这些电子邮件被发送给一名皮肤科医生，该医生在评估后通过电子邮件回复。在中位随访时间548天后，对全科医生进行了关于皮肤科转诊的访谈。当全科医生有意转诊时，转诊减少了51%（95%置信区间=47-58%）。当全科医生无意转诊时，在17%的病例中出现了二次传统会诊。存储转发远程皮肤病学会诊后转诊减少51%，这与其他视频会议研究中的情况相似。全科医生使用数字存储转发远程皮肤病学进行会诊，可以将选定患者转诊给皮肤科医生的数量减半。
