Concordance studies of a web based system in teledermatology.
Introduction: Implementation of teledermatology in primary care offers the possibility of treating patients using specific dermatologic knowledge in far away places with infrequent availability to these services. It is a priority to implement teledermatology services which demonstrate diagnostic rel...
| Publicado en: | Colombia Medica Vol. 40; no. 3; pp. 259 - 271 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
Universidad del Valle
jul-sep2009
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=44386751&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 44386751 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 01208322 165D jtl: Colombia Medica issn: 01208322 maglogo: N pubinfo: dt: jul-sep2009 vid: 40 iid: 3 pid: 19876 pub: Universidad del Valle artinfo: ui: 44386751 10.25100/cm.v40i3.654 ppf: 259 ppct: 12 formats: fmt: @attributes: type: P size: 355KB tig: atl: Concordance studies of a web based system in teledermatology. aug: au: RUIZ, CARLOS GAVIRIA, CLAUDIA GAITÁN, MIGUEL MANRIQUE, RUBÉN ZULUAGA, ÁNGELA TRUJILLO, ANDRÉS su: Medical informatics Dermatology Web services Medical technology Medical innovations Computers in medicine sug: subj: Medical informatics Dermatology Web services Medical technology Medical innovations Computers in medicine keyword: Diagnostic concordance Satisfaction Teledermatology Telemedicine Concordancia diagnóstica Satisfacción Teledermatología Telemedicina ab: Introduction: Implementation of teledermatology in primary care offers the possibility of treating patients using specific dermatologic knowledge in far away places with infrequent availability to these services. It is a priority to implement teledermatology services which demonstrate diagnostic reliability and satisfaction among users. Objectives and methods: To measure the diagnostic reliability of an asynchronous teledermatology web based application by means of intraobserver and interobserver concordance during teleconsultation and traditional presential («face to face») consultation. Furthermore, to evaluate user satisfaction regarding the teleconsultation and the web application. Results: A sample of 82 patients with 172 dermatologic diagnoses was obtained, in which an intraobserver concordance between 80.8% and 86.6%, and an interobserver concordance between 77.3% and 79.6% were found. Satisfaction was evaluated to be on an average of 92.5%. Conclusions: The teleconsultation reliability in teledermatology is evidenced to be high, and is susceptible of improvement through the implementation of health information standards and digital dermatologic photography protocols. Introducción: La implementación de la teledermatología en el cuidado primario ofrece la posibilidad de tratar pacientes utilizando conocimiento dermatológico específico desde lugares remotos que no poseen estos servicios con frecuencia. Es prioritario implementar servicios de teledermatología que demuestran fiabilidad diagnóstica y satisfacción entre todos los usuarios. Objetivo y métodos: Medir la fiabilidad diagnóstica de una aplicación web de tele-dermatología asíncrona a través de la concordancia intra-observador e inter-observador, durante la tele-consulta y la consulta presencial. Además, evaluar la satisfacción de los usuarios con respecto a la tele-consulta y aplicación Web. Resultados: Se obtuvo una muestra de 82 pacientes con 172 diagnósticos dermatológicos, donde se presentó una concordancia intra-observador entre 80.8% y 86.6%, por su lado la concordancia inter-observador varió entre 77.3% y 79.6%. La satisfacción alcanzó un promedio de 92.5%. Conclusiones: Se evidencia que la fiabilidad de la tele-consulta en tele-dermatología es alta, susceptible de mejorar a través de la implementación de estándares de información en salud y protocolos de fotografía dermatológica digital. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Colombia Medica is the property of Universidad del Valle and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Colombia Medica holder: Universidad del Valle dt: @attributes: year: 2009 holdings: @attributes: islocal: N |
|---|