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患者对移动远程皮肤镜检查在一般实践中用于诊断非黑素瘤性皮肤癌和恶性黑素瘤的满意度和期望。

Patient Satisfaction and Expectations Regarding Mobile Teledermoscopy in General Practice for Diagnosis of Non-melanoma Skin Cancer and Malignant Melanoma.

机构信息

Faculty of Health Sciences, University of Southern Denmark, DK-5000 Odense, Denmark.

出版信息

Acta Derm Venereol. 2020 Apr 21;100(8):adv00117. doi: 10.2340/00015555-3459.

Abstract

The incidence of non-melanoma skin cancer and malignant melanoma is increasing. Diagnosing these skin lesions is primarily done visually, making it suitable to use new technology, such as teledermoscopy. Before the implementation of teledermoscopy, patient satisfaction, clinician satisfaction and diagnostic accuracy, need to be evaluated. A cross-sectional quantitative survey was conducted to evaluate patient satisfaction and expectations regarding a mobile teledermoscopy service, and to identify factors influencing patient satisfaction and choice of diagnostic method. A total of 287 out of 476 participants responded to the questionnaire. Almost 90% of respondents were satisfied with, or neutral towards, teledermoscopy. No associations between patient satisfaction and age, smartphone/tablet usage, travel time, prior history of non-melanoma skin cancer and malignant melanoma, or worries about malignancy, were found. There was equal distribution between patients who preferred teledermoscopy and those who preferred face-to-face consultation. Respondents with a high level of smartphone usage significantly preferred teledermoscopy.

摘要

非黑色素瘤皮肤癌和恶性黑色素瘤的发病率正在上升。这些皮肤损伤的诊断主要是通过肉眼进行的,因此适合使用新技术,如远程皮肤镜检查。在实施远程皮肤镜检查之前,需要评估患者满意度、临床医生满意度和诊断准确性。本研究采用横断面定量调查,评估了患者对移动远程皮肤镜检查服务的满意度和预期,并确定了影响患者满意度和诊断方法选择的因素。共有 476 名参与者中的 287 名回答了问卷。近 90%的受访者对远程皮肤镜检查表示满意或中立。患者满意度与年龄、智能手机/平板电脑使用、旅行时间、非黑色素瘤皮肤癌和恶性黑色素瘤的既往病史以及对恶性肿瘤的担忧之间没有关联。倾向于远程皮肤镜检查和倾向于面对面咨询的患者分布均匀。智能手机使用率较高的受访者明显更倾向于远程皮肤镜检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7aee/9128923/55fdd94665fe/ActaDV-100-8-5718-g001.jpg

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