Oakley A M, Astwood D R, Loane M, Duffill M B, Rademaker M, Wootton R
Department of Dermatology, Waikato Hospital, Hamilton, New Zealand.
N Z Med J. 1997 Feb 28;110(1038):51-3.
To determine the accuracy of a video conferencing system (telemedicine) in diagnosis of dermatological disorders.
New patients referred to a dermatology clinic were initially examined by telemedicine and then by a standard face to face consultation. The diagnoses made by each type of consultation were compared and accuracy of telemedicine determined.
One hundred and four patients with 135 dermatological conditions were analysed. Seventy five percent of conditions were correctly diagnosed by telemedicine. In a further 7% a differential diagnosis was made, which included the final diagnosis made face to face. In 12%, the diagnosis was incorrect using the telemedicine system, and in 3% no diagnosis was made. Four per cent of diagnoses were only made when the patient was seen face to face.
This preliminary study suggests that video conferencing equipment can be used with a reasonable degree of accuracy for the diagnosis of dermatological disease.
确定视频会议系统（远程医疗）在诊断皮肤病方面的准确性。
转诊至皮肤科门诊的新患者首先通过远程医疗进行检查，然后进行标准的面对面会诊。比较每种会诊方式做出的诊断，并确定远程医疗的准确性。
对104例患有135种皮肤病的患者进行了分析。远程医疗正确诊断了75%的病情。另有7%做出了鉴别诊断，其中包括面对面做出的最终诊断。12%的病例使用远程医疗系统诊断错误，3%未做出诊断。4%的诊断仅在面对面见到患者时做出。
这项初步研究表明，视频会议设备可用于诊断皮肤病，且准确性较高。
