Infokom GmbH, Neubrandenburg, Germany.
Telemed J E Health. 2012 Nov;18(9):668-73. doi: 10.1089/tmj.2011.0273. Epub 2012 Oct 10.
The increasing number of elderly and chronically ill patients is currently stressing healthcare systems. One of the solutions for reaching an economically and socially viable solution is exploiting the benefits of modern technologies. This article presents an innovative mobile teledermatology program for assisting both the therapy and the aftercare of patients suffering from skin diseases.
The system is based on store-and-forward teledermatology and consists of two main components: (1) an application implemented on the mobile phone in order to enable patients to transmit both skin image data and biofeedback information and (2) an online portal for the care providers. The key idea is to ensure a sufficient involvement of the patients in the therapy process and to motivate them through their active cooperation.
Smartphone applications with features as well as the online Web-based portal for medical care providers are presented. The entire system is embedded on a secure telematics platform. The system was tested at the Clinic for Skin Diseases of the University of Greifswald, Greifswald, Germany, by patients with skin diseases such as ulcus cruris, postoperative wound documentation, eczema, psoriasis, and pemphigus for a period of 1 year. Medical care providers could also analyze patients' data from the developed online Web-based application during that test period.
Positive feedback from both medical care providers and patients confirms a high potential for mobile teledermatology as a means of dermatological healthcare delivery.
当前，老年患者和慢性病患者人数不断增加，这给医疗体系带来了压力。为了找到经济和社会上可行的解决方案，充分利用现代技术的优势是其中之一。本文提出了一种创新的移动远程皮肤病学方案，用于辅助皮肤病患者的治疗和康复。
该系统基于存储转发远程皮肤病学，由两个主要部分组成：（1）安装在移动电话上的应用程序，以便患者能够传输皮肤图像数据和生物反馈信息；（2）医疗服务提供者的在线门户。其关键思想是确保患者充分参与治疗过程，并通过他们的积极合作来激励他们。
展示了具有特色的智能手机应用程序以及用于医疗服务提供者的在线网络门户。整个系统都嵌入在安全的远程信息处理平台中。该系统在德国格赖夫斯瓦尔德大学皮肤科诊所进行了为期 1 年的测试，患有下肢溃疡、术后伤口记录、湿疹、银屑病和天疱疮等皮肤疾病的患者使用了该系统。在测试期间，医疗服务提供者还可以从开发的在线网络应用程序中分析患者的数据。
医疗服务提供者和患者的积极反馈证实了移动远程皮肤病学作为皮肤病医疗保健手段具有巨大的潜力。
