Institut Català de la Salut, Sant Fruitós de Bages, Spain.
Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Barcelona, Spain.
J Prim Care Community Health. 2020 Jan-Dec;11:2150132720937831. doi: 10.1177/2150132720937831.
Skin conditions are one of the most frequent reasons for visiting a primary health care facility, making it of vital importance that general practitioners (GPs) have the right knowledge and tools to diagnose the most frequent dermatological conditions. This study evaluates the accuracy of dermatological diagnoses made by 120 GPs based on photographs taken with a smartphone by an anonymous online cross-sectional survey. The study was carried out between August and October 2018. The results show that the majority of the participants are in favor of using mobile phones to communicate with other professionals and use them to consult medical images. The majority (69%) took dermatological photographs and the preferred device was a smartphone (70%). From 22 different images evaluated, in 69% of responses, participants expressed a high degree of confidence in their ability to diagnose the lesion shown and in 72% of the cases, the diagnosis chosen was correct. The study confirms that the use of smartphone to send medical images is growing rapidly and its potential for taking medical images is an opportunity to help primary care teams deal with dermatological problems. The results suggest that GPs need further training in interpreting dermatological images, to increase their diagnostic confidence and to avoid the need for referrals to face-to-face visits.
皮肤状况是人们前往初级保健医疗机构的最常见原因之一，因此全科医生（GP）必须具备正确的知识和工具来诊断最常见的皮肤科疾病，这一点至关重要。本研究通过匿名在线横断面调查，评估了 120 名 GP 根据智能手机拍摄的照片做出皮肤科诊断的准确性。该研究于 2018 年 8 月至 10 月间进行。结果表明，大多数参与者赞成使用手机与其他专业人员进行沟通，并使用手机咨询医学图像。大多数（69%）人拍摄了皮肤科照片，首选设备是智能手机（70%）。在评估的 22 张不同图像中，69%的参与者对自己诊断所显示病变的能力表示高度自信，而在 72%的情况下，选择的诊断是正确的。该研究证实，使用智能手机发送医疗图像的使用正在迅速增长，其拍摄医疗图像的潜力为帮助初级保健团队处理皮肤科问题提供了机会。研究结果表明，GP 需要进一步接受解读皮肤科图像的培训，以提高他们的诊断信心，避免需要面对面就诊转诊。
