Werbel Tyler, Farahbakhsh Navid, Konda Sailesh
Department of Dermatology, UF Health Dermatology-Springhill, University of Florida, Gainesville, Florida, USA.
Telemed Rep. 2024 Aug 13;5(1):256-262. doi: 10.1089/tmr.2024.0039. eCollection 2024.
Store-and-forward telemedicine is a form of electronic transmission in which patient images or clinical information are transmitted to clinicians for asynchronous clinical decision making. This study evaluated the use, feasibility, savings, and patient satisfaction of postoperative store-and-forward wound checks following Mohs surgery.
Select patients were asked to participate in a virtual postoperative wound check after receiving Mohs surgery. Participants sent photos of their wound site and subsequently completed an anonymous survey.
One hundred and ten patients were enrolled, mean age 68 (range 32-87). Patients saved an average of $14.16, 78.6 miles of travel, and 90 min of travel time. Ninety-eight percent of respondents felt their quality of care in teledermatology was "about the same" to "much better" than compared with traditional in-person care. Sixty-four of the respondents (90.1%) reported they would prefer their next Mohs wound check to be conducted through teledermatology.
Store-and-forward telemedicine in patients undergoing Mohs micrographic surgery is a safe, effective, and efficient method for postoperative wound care.
存储转发远程医疗是一种电子传输形式，其中患者图像或临床信息被传输给临床医生以进行异步临床决策。本研究评估了莫氏手术术后存储转发伤口检查的使用情况、可行性、节省情况和患者满意度。
选择的患者在接受莫氏手术后被要求参与虚拟术后伤口检查。参与者发送伤口部位照片，随后完成一项匿名调查。
共招募了110名患者，平均年龄68岁（范围32 - 87岁）。患者平均节省了14.16美元、78.6英里的行程和90分钟的出行时间。98%的受访者认为他们在远程皮肤病学方面接受的护理质量与传统面对面护理相比“大致相同”至“好得多”。64名受访者（90.1%）表示他们更希望下次莫氏伤口检查通过远程皮肤病学进行。
对于接受莫氏显微外科手术的患者，存储转发远程医疗是一种安全、有效且高效的术后伤口护理方法。
