Giansanti Daniele
Centre Tisp, Istituto Superiore di Sanità, 00161 Rome, Italy.
Healthcare (Basel). 2023 Jul 1;11(13):1911. doi: 10.3390/healthcare11131911.
Mobile health (mHealth) has recently had significant advances in tele-dermatology (TD) thanks to the developments following the COVID-19 pandemic. This topic is very important, as telemedicine and mHealth, when applied to dermatology, could improve both the quality of healthcare for citizens and the workflow in the . The proposed study was centered on the last three years. We conducted an overview on the opportunities, the perspectives, and the problems involved in TD integration with mHealth. The methodology of the narrative review was based on: (I) a search of PubMed and Scopus and (II) an eligibility assessment, using properly proposed parameters. The outcome of the study showed that during the COVID-19 pandemic, TD integration with mHealth advanced rapidly. This integration enabled the monitoring of dermatological problems and facilitated remote specialist visits, reducing face-to-face interactions. AI and mobile apps have empowered citizens to take an active role in their healthcare. This differs from other imaging sectors where information exchange is limited to professionals. The opportunities for TD in mHealth include improving service quality, streamlining healthcare processes, reducing costs, and providing more accessible care. It can be applied to various conditions, such as (but not limited to) acne, vitiligo, psoriasis, and skin cancers. Integration with AI and augmented reality (AR), as well as the use of wearable sensors, are anticipated as future developments. However, integrating TD with mHealth also brings about problems and challenges related to regulations, ethics, cybersecurity, data privacy, and device management. Scholars and policymakers need to address these issues while involving citizens in the process.
由于新冠疫情后的发展，移动健康（mHealth）在远程皮肤病学（TD）方面最近取得了重大进展。这个话题非常重要，因为远程医疗和移动健康应用于皮肤病学时，可以提高公民的医疗保健质量以及[此处原文似乎不完整]的工作流程。拟议的研究集中在过去三年。我们对TD与mHealth整合所涉及的机遇、前景和问题进行了概述。叙述性综述的方法基于：（I）对PubMed和Scopus的检索，以及（II）使用适当提出的参数进行资格评估。研究结果表明，在新冠疫情期间，TD与mHealth的整合迅速推进。这种整合能够监测皮肤病问题，并便利远程专家会诊，减少面对面互动。人工智能和移动应用使公民能够在自身医疗保健中发挥积极作用。这与其他成像领域不同，在其他领域信息交流仅限于专业人员。mHealth中TD的机遇包括提高服务质量、简化医疗流程、降低成本以及提供更易获得的护理。它可应用于各种病症，如（但不限于）痤疮、白癜风、银屑病和皮肤癌。与人工智能和增强现实（AR）的整合以及可穿戴传感器的使用预计将成为未来的发展方向。然而，将TD与mHealth整合也带来了与法规、伦理、网络安全、数据隐私和设备管理相关的问题和挑战。学者和政策制定者在让公民参与这一过程的同时需要解决这些问题。
