Brinker Titus Josef, Hekler Achim, von Kalle Christof, Schadendorf Dirk, Esser Stefan, Berking Carola, Zacher Martina T, Sondermann Wiebke, Grabe Niels, Steeb Theresa, Utikal Jochen Sven, French Lars E, Enk Alexander H
Department of Translational Oncology, National Center for Tumor Diseases, German Cancer Research Center, Heidelberg, Germany.
Department of Dermatology, University Hospital Heidelberg, University of Heidelberg, Heidelberg, Germany.
J Med Internet Res. 2018 Oct 24;20(10):e11871. doi: 10.2196/11871.
A decreasing number of dermatologists and an increasing number of patients in Western countries have led to a relative lack of clinicians providing expert dermatologic care. This, in turn, has prolonged wait times for patients to be examined, putting them at risk. Store-and-forward teledermatology improves patient access to dermatologists through asynchronous consultations, reducing wait times to obtain a consultation. However, live video conferencing as a synchronous service is also frequently used by practitioners because it allows immediate interaction between patient and physician. This raises the question of which of the two approaches is superior in terms of quality of care and convenience. There are pros and cons for each in terms of technical requirements and features. This viewpoint compares the two techniques based on a literature review and a clinical perspective to help dermatologists assess the value of teledermatology and determine which techniques would be valuable in their practice.
西方国家皮肤科医生数量的减少以及患者数量的增加,导致提供专业皮肤科护理的临床医生相对短缺。这反过来又延长了患者的检查等待时间,使他们面临风险。存储转发远程皮肤病学通过异步咨询改善了患者与皮肤科医生的接触,减少了获得咨询的等待时间。然而,实时视频会议作为一种同步服务也经常被从业者使用,因为它允许患者和医生之间立即互动。这就引出了一个问题:就护理质量和便利性而言,这两种方法哪种更优越。在技术要求和功能方面,每种方法都有优缺点。本文观点基于文献综述和临床视角对这两种技术进行比较,以帮助皮肤科医生评估远程皮肤病学的价值,并确定哪些技术在他们的实践中具有价值。