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N Z Med J ; 110(1038): 51-3, 1997 Feb 28.
Article in English | MEDLINE | ID: mdl-9076285

ABSTRACT

AIM: To determine the accuracy of a video conferencing system (telemedicine) in diagnosis of dermatological disorders. METHODS: New patients referred to a dermatology clinic were initially examined by telemedicine and then by a standard face to face consultation. The diagnoses made by each type of consultation were compared and accuracy of telemedicine determined. RESULTS: One hundred and four patients with 135 dermatological conditions were analysed. Seventy five percent of conditions were correctly diagnosed by telemedicine. In a further 7% a differential diagnosis was made, which included the final diagnosis made face to face. In 12%, the diagnosis was incorrect using the telemedicine system, and in 3% no diagnosis was made. Four per cent of diagnoses were only made when the patient was seen face to face. CONCLUSION: This preliminary study suggests that video conferencing equipment can be used with a reasonable degree of accuracy for the diagnosis of dermatological disease.


Subject(s)
Remote Consultation , Skin Diseases/diagnosis , Adolescent , Adult , Aged , Aged, 80 and over , Carcinoma, Basal Cell/diagnosis , Child , Child, Preschool , Dermatitis/diagnosis , Diagnosis, Differential , Eczema/diagnosis , Female , Humans , Keratosis/diagnosis , Male , Middle Aged , Nevus/diagnosis , New Zealand , Outpatient Clinics, Hospital , Patient Satisfaction , Physical Examination , Referral and Consultation , Remote Consultation/instrumentation , Remote Consultation/methods , Skin Neoplasms/diagnosis , Software , Video Recording
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