Delaigue S, Bonnardot L, Olson D, Morand J J
Service des maladies infectieuses et tropicales, assistance publique-hôpitaux de Paris, hôpital Avicenne, université Paris 13, Bobigny, France.
Fondation Médecins sans frontières, Paris, France, Département d'éthique médicale et de médecine légale (EA 4569), Fondation Médecins sans frontières, université Paris Descartes, France.
Med Sante Trop. 2015 Oct-Dec;25(4):365-72. doi: 10.1684/mst.2015.0504.
Telemedicine has grown significantly in recent years, relying in particular on the internet dissemination, that allowed the unprecedented development of networks between practitioners sometimes separated from very distant geographical areas. If technological progress has led to the implementation of telemedicine, its development is mainly due to its ability to meet real needs of health systems in low- and middle-income countries. Very visual in its medical practice, dermatology is well suited for telemedicine. In fact, many teledermatology networks are now operational which include the MSF teleexpertise system and the Africa Teledermatology Project. An overview of these teledermatology networks in low- and middle-income countries is proposed. Analysis of MSF teledermatology cases was used to assess their values and limitations.
近年来,远程医疗发展显著,尤其依赖互联网传播,这使得有时相隔甚远地理区域的从业者之间的网络得以空前发展。如果说技术进步推动了远程医疗的实施,那么其发展主要归功于它满足低收入和中等收入国家卫生系统实际需求的能力。皮肤病学在医疗实践中视觉性很强,非常适合远程医疗。事实上,现在许多远程皮肤病学网络已经投入运营,其中包括无国界医生组织的远程专家系统和非洲远程皮肤病学项目。本文对低收入和中等收入国家的这些远程皮肤病学网络进行了概述。通过对无国界医生组织远程皮肤病学病例的分析来评估其价值和局限性。