Silva Cristiana Silveira, Souza Murilo Barreto, Duque Isabelle Ary, de Medeiros Luciana Molina, Melo Nayra Rodrigues, Araújo Cecília de Almeida, Criado Paulo Ricardo
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
An Bras Dermatol. 2009 Sep-Oct;84(5):489-93. doi: 10.1590/s0365-05962009000500007.
Telemedicine can be defined as the use of telecommunication technologies for the transmission of health data. It has been described in different medical specialties, especially those in which interpretation of images represents a fundamental key in formulating diagnosis.
To evaluate the role of teledermatology in primary care system.
A prospective analysis included 60 patients seen in a primary care unit. All patients were seen by a dermatologist as regular outpatient dermatology consultation. A medical student obtained digital images and a brief clinical history of all patients. Using a Telemedicine system these data were reviewed by two dermatologists for distance diagnosis. Agreement between the diagnoses was assessed.
Good agreement, ranging from 86.6% to 91.6%, was achieved between direct observation and teleconsultation. Good agreement was also achieved between two telemedicine diagnosis (Kappa = 0.62).
Teledermatology is a form of care with great potential for use in dermatology, and could represent a useful tool in cases of low complexity from primary health units.
远程医疗可定义为利用电信技术传输健康数据。它已在不同医学专科中得到描述，尤其是那些图像解读对诊断制定至关重要的专科。
评估远程皮肤病学在初级保健系统中的作用。
一项前瞻性分析纳入了在初级保健单位就诊的60例患者。所有患者均接受皮肤科医生的常规门诊皮肤科会诊。一名医学生获取了所有患者的数字图像和简要临床病史。使用远程医疗系统，两名皮肤科医生对这些数据进行远程诊断审查。评估诊断之间的一致性。
直接观察与远程会诊之间的一致性良好，范围为86.6%至91.6%。两次远程医疗诊断之间也达成了良好的一致性（卡帕值=0.62）。
远程皮肤病学是一种在皮肤病学中具有巨大应用潜力的医疗形式，对于初级卫生单位低复杂性病例可能是一种有用的工具。
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