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Potential effect of patient-assisted teledermatology on outpatient referral rates

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Potential effect of patient-assisted teledermatology on outpatient referral rates. / Eminović, N.; Witkamp, L.; Ravelli, A. C. J.; Bos, J. D.; van den Akker, Th. W.; Bousema, M. T.; Henquet, C. J. M.; Koopman, R. J. J.; Zeegelaar, J. E.; Wyatt, J. C.

In: Journal of Telemedicine and Telecare, Vol. 9, No. 6, 2003, p. 321-327.

Research output: Contribution to journalArticle

Harvard

Eminović, N, Witkamp, L, Ravelli, ACJ, Bos, JD, van den Akker, TW, Bousema, MT, Henquet, CJM, Koopman, RJJ, Zeegelaar, JE & Wyatt, JC 2003, 'Potential effect of patient-assisted teledermatology on outpatient referral rates' Journal of Telemedicine and Telecare, vol 9, no. 6, pp. 321-327., 10.1258/135763303771005216

APA

Eminović, N., Witkamp, L., Ravelli, A. C. J., Bos, J. D., van den Akker, T. W., Bousema, M. T., ... Wyatt, J. C. (2003). Potential effect of patient-assisted teledermatology on outpatient referral rates. Journal of Telemedicine and Telecare, 9(6), 321-327. 10.1258/135763303771005216

Vancouver

Eminović N, Witkamp L, Ravelli ACJ, Bos JD, van den Akker TW, Bousema MT et al. Potential effect of patient-assisted teledermatology on outpatient referral rates. Journal of Telemedicine and Telecare. 2003;9(6):321-327. Available from: 10.1258/135763303771005216

Author

Eminović, N.; Witkamp, L.; Ravelli, A. C. J.; Bos, J. D.; van den Akker, Th. W.; Bousema, M. T.; Henquet, C. J. M.; Koopman, R. J. J.; Zeegelaar, J. E.; Wyatt, J. C. / Potential effect of patient-assisted teledermatology on outpatient referral rates.

In: Journal of Telemedicine and Telecare, Vol. 9, No. 6, 2003, p. 321-327.

Research output: Contribution to journalArticle

Bibtex - Download

@article{81d83f86200b4372acd0c21ba6023171,
title = "Potential effect of patient-assisted teledermatology on outpatient referral rates",
author = "N. Eminović and L. Witkamp and Ravelli, {A. C. J.} and Bos, {J. D.} and {van den Akker}, {Th. W.} and Bousema, {M. T.} and Henquet, {C. J. M.} and Koopman, {R. J. J.} and Zeegelaar, {J. E.} and Wyatt, {J. C.}",
note = "dc.publisher: Royal Society of Medicine Press",
year = "2003",
doi = "10.1258/135763303771005216",
volume = "9",
number = "6",
pages = "321--327",
journal = "Journal of Telemedicine and Telecare",
issn = "1357-633X",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Potential effect of patient-assisted teledermatology on outpatient referral rates

A1 - Eminović,N.

A1 - Witkamp,L.

A1 - Ravelli,A. C. J.

A1 - Bos,J. D.

A1 - van den Akker,Th. W.

A1 - Bousema,M. T.

A1 - Henquet,C. J. M.

A1 - Koopman,R. J. J.

A1 - Zeegelaar,J. E.

A1 - Wyatt,J. C.

AU - Eminović,N.

AU - Witkamp,L.

AU - Ravelli,A. C. J.

AU - Bos,J. D.

AU - van den Akker,Th. W.

AU - Bousema,M. T.

AU - Henquet,C. J. M.

AU - Koopman,R. J. J.

AU - Zeegelaar,J. E.

AU - Wyatt,J. C.

PY - 2003

Y1 - 2003

N2 - We carried out a pilot study on the feasibility and accuracy of store-and-forward teledermatology based on patient-provided images and history as a triage tool for outpatient consultation. Patients referred by their general practitioner provided a history and images via the Internet. The information was reviewed by one of 12 teledermatologists and the patient then visited a different dermatologist in person within two days. Three independent dermatologists compared the remote and in-person diagnoses in random order to determine diagnostic agreement. Broader agreement was also measured, by comparing the main disease groups into which the two diagnoses fell. The teledermatologists indicated whether an in-person consultation or further investigations were necessary. There were 105 eligible patients, aged four months to 72 years, who were willing to participate. For the 96 cases included in the analysis, complete diagnostic agreement was found in 41% (n = 39), partial diagnostic agreement in 10% (n = 10) and no agreement in 49% (n = 47). There was disease group agreement in 66% of cases (n = 63). Nearly a quarter (23%) of participating patients could have safely been managed without an in-person visit to a dermatologist.

AB - We carried out a pilot study on the feasibility and accuracy of store-and-forward teledermatology based on patient-provided images and history as a triage tool for outpatient consultation. Patients referred by their general practitioner provided a history and images via the Internet. The information was reviewed by one of 12 teledermatologists and the patient then visited a different dermatologist in person within two days. Three independent dermatologists compared the remote and in-person diagnoses in random order to determine diagnostic agreement. Broader agreement was also measured, by comparing the main disease groups into which the two diagnoses fell. The teledermatologists indicated whether an in-person consultation or further investigations were necessary. There were 105 eligible patients, aged four months to 72 years, who were willing to participate. For the 96 cases included in the analysis, complete diagnostic agreement was found in 41% (n = 39), partial diagnostic agreement in 10% (n = 10) and no agreement in 49% (n = 47). There was disease group agreement in 66% of cases (n = 63). Nearly a quarter (23%) of participating patients could have safely been managed without an in-person visit to a dermatologist.

U2 - 10.1258/135763303771005216

DO - 10.1258/135763303771005216

M1 - Article

JO - Journal of Telemedicine and Telecare

JF - Journal of Telemedicine and Telecare

SN - 1357-633X

IS - 6

VL - 9

SP - 321

EP - 327

ER -

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