University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Department of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
J Am Acad Dermatol. 2020 Jul;83(1):299-307. doi: 10.1016/j.jaad.2020.01.065. Epub 2020 Feb 5.
There has been rapid growth in teledermatology over the past decade, and teledermatology services are increasingly being used to support patient care across a variety of care settings. Teledermatology has the potential to increase access to high-quality dermatologic care while maintaining clinical efficacy and cost-effectiveness. Recent expansions in telemedicine reimbursement from the Centers for Medicare & Medicaid Services (CMS) ensure that teledermatology will play an increasingly prominent role in patient care. Therefore, it is important that dermatologists be well informed of both the promises of teledermatology and the potential practice challenges a continuously evolving mode of care delivery brings. In this article, we will review the evidence on the clinical and cost-effectiveness of teledermatology and we will discuss system-level and practice-level barriers to successful teledermatology implementation as well as potential implications for dermatologists.
在过去的十年中，远程皮肤病学发展迅速，远程皮肤病学服务越来越多地被用于支持各种医疗环境中的患者护理。远程皮肤病学有可能在保持临床疗效和成本效益的同时，增加获得高质量皮肤病护理的机会。医疗保险和医疗补助服务中心（CMS）最近扩大了远程医疗报销范围，这确保了远程皮肤病学将在患者护理中发挥越来越重要的作用。因此，皮肤科医生了解远程皮肤病学的前景以及这种不断发展的医疗服务模式带来的潜在实践挑战非常重要。在本文中，我们将回顾远程皮肤病学的临床和成本效益的证据，我们将讨论成功实施远程皮肤病学的系统和实践障碍，以及对皮肤科医生的潜在影响。
