Abstract
BackgroundTelemedicine is increasingly being used as part of routine practice for many physicians and healthcare providers across the country. Due to its visual nature, dermatology is ideally suited to benefit from this new technology. The use of teledermatology (telemedicine in dermatology) in a primary care setting allows for an expert opinion without the need for an in-person referral. Furthermore, it can improve patient access in remote areas. Store-and-forward teledermatology is the most commonly employed method.Case presentationThis case describes a Caucasian male in his fifties with no fixed address or telephone number who presented to his family doctor with an enlarging nevus on his chest, and required a dermatology referral. Given these limitations, a traditional fax and phone referral would not be possible. Instead store-and-forward teledermatology was employed. It was then determined by the dermatologist that the nevus was benign and did not require treatment.ConclusionThis case demonstrates the utility of store-and-forward teledermatology in what is unfortunately not an uncommon scenario in Canada. The patient was successfully managed, and a logistically difficult and expensive in-person referral was avoided.
Highlights
Telemedicine is increasingly being used as part of routine practice for many physicians and healthcare providers across the country
The use of teledermatology in a primary care setting allows for an expert opinion without the need for a referral
Unlike S&F teledermatology, live interactive (LI) methods require the coordination of both primary care physician and dermatologist, and rely much more significantly on proper functioning of technology and security
Summary
Recent advances in technology have allowed for a broadened use of telehealth across the country. The use of teledermatology (telemedicine in dermatology) in a primary care setting allows for an expert opinion without the need for a referral. It can improve patient access in remote areas. Unlike S&F teledermatology, LI methods require the coordination of both primary care physician and dermatologist, and rely much more significantly on proper functioning of technology and security. It has been shown that the use of S&F teledermatology is associated with 43% rate of avoided travel as compared to traditional methods. This rose to as much as 70% in LI cases [14]. For low-income or homeless patients, this avoidance of travel can be of great importance due to the costs associated with getting to the referred physician
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