Vidmar D A
Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Dermatol Clin. 1999 Jan;17(1):113-24, ix. doi: 10.1016/s0733-8635(05)70073-5.
The Department of Defense (DoD) healthcare system supports the medical needs of service members while engaged in a variety of missions frequently in isolated, remote, and austere locations. As a result, the DoD has been a leader in the development of telemedicine, including teledermatology as a way to provide "good medicine in bad places." A brief technical history of teledermatology, representative DoD experiences including military unique concerns, and a novel approach to increase the access of DoD teledermatology consultation are presented in this article.
美国国防部医疗系统在军人执行各种任务时，经常在偏远、孤立和艰苦的地点，为他们提供医疗支持。因此，美国国防部一直是远程医疗发展的领导者，包括将远程皮肤病学作为在“恶劣环境中提供优质医疗”的一种方式。本文介绍了远程皮肤病学的简要技术发展历程、美国国防部的代表性经验（包括军事特有的问题），以及一种增加美国国防部远程皮肤病学会诊可及性的新方法。
