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Teledermatology

  • Daniel Holthausen Nunes
Chapter

Abstract

Teledermatology refers to the delivery of dermatologic care via information and communication technology. Dermatologists use telemedicine techniques to diagnose and treat patients from a distance, which involves the clinical evaluation of skin lesions and the review of laboratory findings. However, telediagnosis requires a specialist who is responsible for providing a report (diagnosis), based on relevant clinical information provided by the physician, and good quality images. Several factors are necessary for a successful teledermatology program: preselection of patients, image quality, dermoscopy for pigmented lesions, and an effective culture and infrastructure. It is crucial to establish training and standardized guidelines for referring providers and teleimagers and to facilitate continuous feedback among referrers, imagers, and readers. The development of specific protocols and guidelines should be used to familiarize general practitioners with the new tool. Teledermatology can be used as a complementary tool in daily consultations at primary care centers and as an effective means to filter dermatology referrals, given that it is a diagnostic method that enables the early detection of skin cancer and other skin diseases, thus reducing the number of unnecessary referrals to dermatologists and the consequent waiting time for face-to-face consultations, as well as the costs associated with this process.

Keywords

Telemedicine Telehealth Instrumentation Skin diseases 

Notes

Glossary

Second formative opinion

Systematic response, based on literature review of the best scientific and clinical evidence and the directive role of primary health care. The questions originate from teleconsultation and are selected from criteria of relevance.

Tele-education

Lectures, classes, and courses provided through the use of information and communication technologies.

Teleconsulting

Registered consultation conducted among workers, professionals, and managers of health through bidirectional telecommunication instruments in order to answer questions about clinical procedures, health actions, and issues related to the work process. They can be of two types: (a) Synchronous – teleconsulting performed in real time, usually by chat, web, or video conferencing; or (b) asynchronous – teleconsulting performed by off-line messages.

Telediagnostics

Autonomous service that uses information technology and communication to perform diagnostic support services through distance and time; e.g., Teleradiology, Teledermatology, Tele-electrocardiography.

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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  1. 1.Federal University of Santa Catarina – HU-UFSCFlorianópolisBrazil

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