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[莱比锡大学医学中心远程皮肤病学咨询的实施]

[Implementation of teledermatological consultations at Leipzig University Medical Center].

作者信息

Triebswetter Susanne, Simon Jan C, Seitz Anna-Theresa

机构信息

Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Leipzig AöR, Philipp-Rosenthal-Str. 23, 04103, Leipzig, Deutschland.

出版信息

Dermatologie (Heidelb). 2025 Mar;76(3):152-158. doi: 10.1007/s00105-024-05463-z. Epub 2025 Jan 18.

Abstract

BACKGROUND

Numerous patients admitted to a general hospital present skin changes as secondary findings. Approximately 800 dermatological consultations are performed annually at the Leipzig University Medical Center.

OBJECTIVES

The aim of this study was, after implementation of teledermatological consulting, the retrospective evaluation of that and the resulting satisfaction of the physicians involved.

MATERIALS AND METHODS

We carried out an analysis of all consultation requests, which were answered using store-and-forward technology via the photo documentation app imitoCAM® (imito AG Zurich/Switzerland) and the clinical information system SAP® (SAP Deutschland SE & Co. KG Walldorf/Germany) from 1 February to 31 July 2023, as well as of questionnaires on satisfaction, which were sent to the participating physicians after the consultation.

RESULTS

Our analysis included 419 consultation requests, 90 of which were answered teledermatologically. The consultation dermatologists stated that 92% of the cases could be solved using only telemedical instruments. Moreover, 90.9% of the consulting physicians rated the technical implementation as good to very good and 47.5% of the consultation dermatologists estimated a time saving of at least 30-60 min.

CONCLUSIONS

Our study shows the enormous potential of teledermatology in the inpatient setting. Implementation of teleconsultation enables more efficient consultations, reduces time- and cost-intensive transportation and offers patients a more comfortable dermatological evaluation with reduced risk of infection.

摘要

背景

许多入住综合医院的患者会出现皮肤变化作为次要发现。莱比锡大学医学中心每年约进行800次皮肤科会诊。

目的

本研究的目的是在实施远程皮肤科会诊后,对其进行回顾性评估以及相关医生由此产生的满意度。

材料与方法

我们对2023年2月1日至7月31日期间所有通过存储转发技术,利用照片记录应用程序imitoCAM®(瑞士苏黎世imito AG)和临床信息系统SAP®(德国瓦尔多夫SAP Deutschland SE & Co. KG)回复的会诊请求,以及会诊后发送给参与医生的满意度调查问卷进行了分析。

结果

我们的分析包括419份会诊请求,其中90份通过远程皮肤科会诊得到回复。会诊皮肤科医生表示,92%的病例仅使用远程医疗工具即可解决。此外,90.9%的会诊医生对技术实施的评价为良好至非常好,47.5%的会诊皮肤科医生估计节省了至少30 - 60分钟的时间。

结论

我们的研究显示了远程皮肤科在住院环境中的巨大潜力。远程会诊的实施能够实现更高效的会诊,减少耗时且成本高昂的交通,并为患者提供更舒适的皮肤科评估,同时降低感染风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/517f/11850492/bce29fb4851c/105_2024_5463_Fig1_HTML.jpg

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