住院患者远程皮肤病学：综述
Inpatient Teledermatology: a Review.
作者信息
Mocharnuk Joseph, Lockard Trevor, Georgesen Corey, English Joseph C
机构信息
School of Medicine, University of Pittsburgh, Wexford, PA 15090 USA.
School of Medicine, University of Nebraska, Lincoln, USA.
出版信息
Curr Dermatol Rep. 2022;11(2):52-59. doi: 10.1007/s13671-022-00360-x. Epub 2022 Apr 2.
PURPOSE OF REVIEW
Inpatient teledermatology is a rapidly growing field with significant potential to add value and streamline patient care. This review summarizes the current literature on inpatient teledermatology, primarily focusing on its diagnostic and clinical management utility as compared to live dermatologic evaluation.
RECENT FINDINGS
The COVID-19 pandemic has accelerated the adoption of inpatient teledermatology, which has been shown to be comparable to live hospitalist evaluation for triage, diagnosis, and management of hospitalized patients for a wide variety of conditions. Despite its comparative cost-effectiveness and recent changes in reimbursement practices, inpatient teledermatology still lacks sufficient reimbursement incentive for widespread implementation.
SUMMARY
Inpatient teledermatology is an effective, efficient, accurate, and cost-effective means of managing the hospital burden of skin disease, especially in areas where access to dermatologic care is limited. It is essential that dermatologists and referring providers comprehend the use and potential pitfalls of inpatient teledermatology to effectively incorporate it into hospital practice.
综述目的
住院远程皮肤病学是一个快速发展的领域，具有显著的增值潜力并能简化患者护理流程。本综述总结了当前关于住院远程皮肤病学的文献，主要关注其与现场皮肤科评估相比在诊断和临床管理方面的效用。
最新发现
新冠疫情加速了住院远程皮肤病学的应用，对于各种病症的住院患者，在分诊、诊断和管理方面，它已被证明与现场住院医师评估相当。尽管其具有相对的成本效益以及近期报销政策的变化，但住院远程皮肤病学仍缺乏足够的报销激励措施以实现广泛应用。
总结
住院远程皮肤病学是管理医院皮肤病负担的一种有效、高效、准确且具有成本效益的手段，尤其是在皮肤科护理可及性有限的地区。皮肤科医生和转诊提供者必须理解住院远程皮肤病学的使用方法和潜在陷阱，以便有效地将其纳入医院实践。
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