Tele- Derm National: A decade of teledermatology in rural and remote Australia.

Objective To identify the current scope of Tele- Derm, the types of dermatological complaints experienced in the rural primary care setting, and to assess the quality of patient clinical information provided to the consultant dermatologist. Design Retrospective case analysis. Setting Tele- Derm Nati...

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Publicado en:Australian Journal of Rural Health Vol. 24; no. 3; pp. 193 - 200
Autores principales: Byrom, Lisa, Lucas, Lex, Sheedy, Vicki, Madison, Kim, McIver, Lachlan, Castrisos, George, Alfonzo, Christina, Chiu, Frank, Muir, Jim
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2016
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/ajr.12248
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        atl: Tele- Derm National: A decade of teledermatology in rural and remote Australia.
      aug:
        au:
          Byrom, Lisa
          Lucas, Lex
          Sheedy, Vicki
          Madison, Kim
          McIver, Lachlan
          Castrisos, George
          Alfonzo, Christina
          Chiu, Frank
          Muir, Jim
        affil: Dermatology Department, Mater Misericordiae Health Service, Brisbane Queensland, Australia
      sug:
        subj:
          Telemedicine
          Skin Diseases Diagnosis
          Rural Areas
          Human
          Dermatology
          Australia
          Scope of Practice
          Retrospective Design
          Patient Selection
          Outcomes (Health Care)
          Education
          Online Services
          Patient Care
          Medical Organizations
          Data Collection
          Data Analysis
          Data Analysis Software
          Patient Assessment
          Pediatrics
          Adult
          Access to Information
          Adult: 19-44 years
      ab: Objective To identify the current scope of Tele- Derm, the types of dermatological complaints experienced in the rural primary care setting, and to assess the quality of patient clinical information provided to the consultant dermatologist. Design Retrospective case analysis. Setting Tele- Derm National is an initiative of the Australian College of Rural and Remote Medicine and has been providing online educational and consultational services in dermatology to doctors Australia-wide for over a decade. Participants Patient cases that were submitted to Tele- Derm for specialist dermatologist advice. Interventions Audit of submitted cases. Main outcome measures The types of patient presentations and reason for submission for specialist opinion were analysed. The quality of clinical information provided was also evaluated. Results A total of 406 cases submitted over 2012-2013 were analysed. Most patients were from the outpatient setting with 'rash' or dermatitis (66%). Almost one-third of patients were paediatric cases. The average time from submission to dermatologist reply was 5.5 hours. Clinical photos were provided in 83% of cases and 73% of these were assessed as being of good quality. Management advice was provided in 77% of cases, of which reference to the case-based learning modules on Tele- Derm was made in 21% of cases. Patient outcome was largely unknown (83%). Conclusion This study identified some of the common dermatological complaints presenting to rural and remote primary care doctors in Australia. The unique addition of professional development in Tele- Derm can be used as an adjunct to advice provided to the rural doctors seeking advice for patient management.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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