异步远程皮肤病学减少扁平苔藓的等待时间并保持对标准护理的高依从性：一项回顾性研究。
Asynchronous Teledermatology Reduces Wait Times and Maintains High Adherence to Standard Care for Lichen Planus: A Retrospective Study.
作者信息
Duffy Taylor L, English Joseph C
机构信息
Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
出版信息
Telemed Rep. 2025 Jul 24;6(1):179-184. doi: 10.1177/26924366251361365. eCollection 2025.
BACKGROUND
Lichen planus (LP) is a chronic inflammatory dermatosis with limited teledermatology data guiding its management.
OBJECTIVE
To assess whether asynchronous teledermatology provides timely, guideline-adherent LP care comparable to in-person visits.
METHODS
A retrospective study of 102 LP patients seen via asynchronous teledermatology ( = 45) or in-person ( = 57) from 2020 to 2024. Variables included demographics, response time, diagnostic concordance, treatment, and follow-up compliance.
RESULTS
Teledermatology provided rapid access (mean response time: 15 h) to dermatologic care. Diagnostic concordance between teledermatologists and in-person dermatologists was high (90.5%), while concordance with primary care providers was lower (18.5%, < 0.001). Teledermatologists followed LP care standards, including hepatitis C virus screening (91.1%) and topical corticosteroid initiation (90%). Black patients used eVisits more frequently than in-person care (38.9% vs. 8.8%, < 0.01), and follow-up compliance was lower among asynchronous patients (57.8% vs. 92.7%, < 0.001).
CONCLUSION
Asynchronous teledermatology enables timely, high-quality LP care. However, strategies to improve follow-up are needed, particularly for younger teledermatology patients.
背景
扁平苔藓（LP）是一种慢性炎症性皮肤病，指导其治疗的远程皮肤病学数据有限。
目的
评估异步远程皮肤病学是否能提供与面对面就诊相当的及时、符合指南的LP护理。
方法
对2020年至2024年通过异步远程皮肤病学（n = 45）或面对面（n = 57）就诊的102例LP患者进行回顾性研究。变量包括人口统计学、响应时间、诊断一致性、治疗和随访依从性。
结果
远程皮肤病学提供了快速的皮肤科护理（平均响应时间：15小时）。远程皮肤科医生与面对面皮肤科医生之间的诊断一致性很高（90.5%），而与初级保健提供者的一致性较低（18.5%，P < 0.001）。远程皮肤科医生遵循LP护理标准，包括丙型肝炎病毒筛查（91.1%）和外用糖皮质激素起始治疗（90%）。黑人患者使用电子就诊的频率高于面对面护理（38.9%对8.8%，P < 0.01），异步就诊患者的随访依从性较低（57.8%对92.7%，P < 0.001）。
结论
异步远程皮肤病学能够提供及时、高质量的LP护理。然而，需要采取策略来改善随访，特别是对于年轻的远程皮肤病学患者。
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