Abstract
Objectives. To assess the concepts of teledermatology (TD), a subspecialty of dermatology and one of the most common applications of telemedicine. Material and methods. This systematic review, totaling 32 works, is aimed to evaluate the advantages and limitations of teledermatology, which can be delivered in two ways: real-time (synchronous), using videoconference technology, and store-and-forward (SAF) methods (aynchronous), using digital images via internet, a cheaper and more convenient modality for the health care provider. Results. So far, teledermatology has been implemented in dermoscopy, dermatopathology and chronic wound care. However, other chronic skin disease, such as psoriasis, dermatitis, acne, rosacea and skin cancers can be evaluated and monitored using store-and-forward methods. Conclusions. In order to develop a teledermatology platform, Romanian dermatology requires specific protocols and equipment for taking and sending photographs. A dermatologist would then review the data using store-and forward method and respond with a diagnosis and therapeutic algorithm.
Highlights
TO TELEDERMATOLOGYTeledermatology (TD) is a subspecialty in the medical field of dermatology and is one of the most common applications of telemedicine and e-health
Due to its predominant visual nature, dermatology seems to better benefit from telemedicine, probably more than any other specialties [3] teledermatology was developed in 1995 by the dermatologists Perednia and Brown as an application of telemedicine, described in a scientific publication as a cost effective way of providing remote healthcare
TD can be delivered in 2 ways: Realtime/ Live interactive TD, using videoconference technology, and Store-and-forward (SAF) methods, using digital images via internet (e-mail, web-platform), a cheaper and more convenient modality for the health care provider. [6,7,8] Other concepts include hybrid models, online discussion groups (ODG), mobile TD, teledermatopathology, teledermoscopy and telesurgery. [6,7]
Summary
Teledermatology (TD) is a subspecialty in the medical field of dermatology and is one of the most common applications of telemedicine and e-health. Due to its predominant visual nature, dermatology seems to better benefit from telemedicine, probably more than any other specialties [3] teledermatology was developed in 1995 by the dermatologists Perednia and Brown as an application of telemedicine, described in a scientific publication as a cost effective way of providing remote healthcare. Having in mind that the majority of dermatologists work in urban areas, TD allows patients to save both time and money, by eliminating the costs of travel and offering access to otherwise unavailable medical consultation. TD can be delivered in 2 ways: Realtime/ Live interactive TD (synchronous), using videoconference technology, and Store-and-forward (SAF) methods (aynchronous), using digital images via internet (e-mail, web-platform), a cheaper and more convenient modality for the health care provider. TD can be delivered in 2 ways: Realtime/ Live interactive TD (synchronous), using videoconference technology, and Store-and-forward (SAF) methods (aynchronous), using digital images via internet (e-mail, web-platform), a cheaper and more convenient modality for the health care provider. [6,7,8] Other concepts include hybrid models (which combine SAF and real time models), online discussion groups (ODG), mobile TD (uses smartphone or tablet applications), teledermatopathology, teledermoscopy and telesurgery. [6,7]
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