Información del artículo
Abstract
Telemedicine refers to the use of telecommunications technology to provide health care and medical information. The practice of medicine—and dermatology in particular—is undergoing a great upheaval due to advances in information technology. This article briefly reviews the origin, development, applications, benefits, methodology, and components of telemedicine. Specifically, we will analyze the types and applications of teledermatology, paying particular attention to technical, organizational, and legal aspects.
Key words:
telemedicine
remote consultation
teledermatology
store-and-forward systems
real-time systems
Resumen
La telemedicina es el uso de la tecnología de las telecomunicaciones para proveer servicios e información médica. La forma de practicar la Medicina, y específicamente la Dermatología, está sufriendo enormes cambios debido al desarrollo de las tecnologías de la información. Este artículo revisa brevemente el origen, el desarrollo, las aplicaciones, los beneficios, las metodologías y los componentes de la telemedicina. De forma específica se analizan las aplicaciones en la teledermatología y sus tipos, prestando especial atención a los aspectos técnicos, organizativos y legales.
Palabras clave:
telemedicina
teleconsulta
teledermatología
sistemas de almacenamiento
sistemas en tiempo real
El Texto completo está disponible en PDF
References
[1.]
B. Stanberry.
Telemedicine: barriers and opportunities in the 21st century.
J Intern Med, 247 (2000), pp. 615-628
[2.]
Telemedicine: fad or future? Lancet. 1995;345:73-4.
[5.]
M. Ribera, P.F. Peñas, L. Barco.
La teledermatología hoy.
Piel, 16 (2001), pp. 225-237
[6.]
R. Wootton, A. Darkins.
Telemedicine and the doctor-patient relationship.
J R Coll Physicians Lond, 31 (1997), pp. 598-599
[7.]
F. Larsen, E. Gjerdrum, A. Obstfelder, L. Lundvoll.
Implementing telemedicine services in northern Norway: barriers and facilitators.
J Telemed Telecare, 9 (2003), pp. S17-S18
[8.]
G. Romero, M. García, E. Vera, C. Martínez, P. Cortina, P. Sánchez, et al.
Resultados preliminares de DERMATEL: estudio aleatorizado prospectivo comparando modalidades de teledermatología síncrona y asíncrona.
Actas Dermosifiliogr, 97 (2006), pp. 630-636
[9.]
S. Martínez-García, J. Boz-González, T. Martín-González, E. Samaniego-González, V. Crespo-Erchiga.
Teledermatología. Revisión de 917 teleconsultas.
Actas Dermosifiliogr, 98 (2007), pp. 318-324
[10.]
R. Wootton, S.E. Bloomer, R. Corbett, D.J. Eedy, N. Hicks, H.E. Lotery, et al.
Multicentre randomised control trial comparing real time teledermatology with conventional outpatient dermatological care: societal cost-benefit analysis.
BMJ, 320 (2000), pp. 1252-1256
[11.]
P.V. Harrison, B. Kirby, Y. Dickinson, R. Schofield.
Teledermatology—high technology or not?.
J Telemed Telecare, 4 (1998), pp. 31-32
[12.]
D. Moreno-Ramírez, L. Ferrándiz, A. Nieto-García, R. Carrasco, P. Moreno-Álvarez, R. Galdeano, et al.
Store-and-forward teledermatology in skin cancer triage: experience and evaluation of 2009 teleconsultations.
Arch Dermatol, 143 (2007), pp. 479-484
[13.]
G. Eysenbach, T.L. Diepgen.
Patients looking for information on the Internet and seeking teleadvice: motivation, expectations, and misconceptions as expressed in e-mails sent to physicians.
Arch Dermatol, 135 (1999), pp. 151-156
[14.]
A.R. Jadad, C. Sigouin, L. Cocking, L. Booker, T. Whelan, G. Browman.
Internet use among physicians, nurses, and their patients.
JAMA, 286 (2001), pp. 1451-1452
[15.]
G. Gutiérrez.
Medicare, the Internet, and the future of telemedicine.
Crit Care Med, 29 (2001), pp. N144-N150
[16.]
S.W. Dill, J.J. Digiovanna.
Changing paradigms in dermatology: information technology.
Clin Dermatol, 21 (2003), pp. 375-382
[17.]
G. Burg, U. Hasse, C. Cipolat, R. Kropf, V. Djamei, H.P. Soyer, et al.
Teledermatology: just cool or a real tool?.
Dermatology, 210 (2005), pp. 169-173
[18.]
N. Eminovic, L. Witkamp, A.C. Ravelli, J.D. Bos, T.W. van den Akker, M.T. Bousema, et al.
Potential effect of patient assisted teledermatology on outpatient referral rates.
J Telemed Telecare, 9 (2003), pp. 321-327
[19.]
W. Hersh, D. Hickam, S. Severance, T. Dana, K. Krages, M. Helfand.
Telemedicine for the medicare population: update.
AHRQ, (2006),
[20.]
J.S. English, D.J. Eedy.
Has teledermatology in the U.K. finally failed?.
Br J Dermatol, 156 (2007), pp. 411
[21.]
W.H. Neuse, N.J. Neumann, P. Lehmann, T. Jansen, G. Plewig.
The history of photography in dermatology. Milestones from the roots to the 20th century.
Arch Dermatol, 132 (1996), pp. 1492-1498
[22.]
D. Ratner, C.O. Thomas, D. Bickers.
The uses of digital photography in dermatology.
J Am Acad Dermatol, 41 (1999), pp. 749-756
[23.]
Romero G. Fiabilidad de la teleconsulta en Dermatología [doctoral thesis]. Madrid: Facultad de Medicina. Universidad Complutense de Madrid; 2007.
[24.]
P. Taylor, P. Goldsmith, K. Murray, D. Harris, A. Barkley.
Evaluating a telemedicine system to assist in the management of dermatology referrals.
Br J Dermatol, 144 (2001), pp. 328-333
[25.]
W. Hersh, M. Helfand, J. Wallace, D. Kraemer, P. Patterson, S. Shapiro, et al.
A systematic review of the efficacy of telemedicine for making diagnostic and management decisions.
J Telemed Telecare, 8 (2002), pp. 197-209
[26.]
A. Knol, T.W. van den Akker, R.J. Damstra, J. de Haan.
Teledermatology reduces the number of patient referrals to a dermatologist.
J Telemed Telecare, 12 (2006), pp. 75-78
[27.]
J.D. Whited.
Teledermatology research review.
Int J Dermatol, 45 (2006), pp. 220-229
[28.]
N. Eminovic, N.F. de Keizer, P.J. Bindels, A. Hasman.
Maturity of teledermatology evaluation research: a systematic literature review.
Br J Dermatol, 156 (2007), pp. 412-419
[29.]
J.C. Kvedar, R.A. Edwards, E.R. Menn, M. Mofid, E. González, J. Dover, et al.
The substitution of digital images for dermatologic physical examination.
Arch Dermatol, 133 (1997), pp. 161-167
[30.]
B.D. Zelickson, L. Homan.
Teledermatology in the nursing home.
Arch Dermatol, 133 (1997), pp. 171-174
[32.]
C.C. Lyon, P.V. Harrison.
Digital imaging and teledermatology: educational and diagnostic applications of a portable digital imaging system for the trainee dermatologist.
Clin Exp Dermatol, 22 (1997), pp. 163-165
[33.]
H.C. Williams.
Increasing demand for dermatological services: how much is needed?.
J R Coll Physicians Lond, 31 (1997), pp. 261-262
[34.]
M.F. Du Moulin, Y.I. Bullens-Goessens, C.J. Henquet, D.E. Brunenberg, D.P. de Bruyn-Geraerds, R.A. Winkens, et al.
The reliability of diagnosis using store-and-forward teledermatology.
J Telemed Telecare, 9 (2003), pp. 249-252
[35.]
G.B. Jemec, H. Thorsteinsdottir, H.C. Wulf.
The changing referral pattern in Danish dermatology—Rigshospitalet, Copenhagen, 1986-1995.
Int J Dermatol, 36 (1997), pp. 453-456
[36.]
D.L. Ramsay, A.B. Fox.
The ability of primary care physicians to recognize the common dermatoses.
Arch Dermatol, 117 (1981), pp. 620-622
[37.]
R.A. Clark, R.L. Rietschel.
The cost of initiating appropriate therapy for skin diseases: a comparison of dermatologists and family physicians.
J Am Acad Dermatol, 9 (1983), pp. 787-796
[38.]
R.J. Pariser, D.M. Pariser.
Primary care physicians’ errors in handling cutaneous disorders. A prospective survey.
J Am Acad Dermatol, 17 (1987), pp. 239-245
[39.]
E.A. Krupinski, B. LeSueur, L. Ellsworth, N. Levine, R. Hansen, N. Silvis, et al.
Diagnostic accuracy and image quality using a digital camera for teledermatology.
Telemed J, 5 (1999), pp. 257-263
[40.]
D.A. Perednia, J. Wallace, M. Morrisey, M. Bartlett, L. Marchionda, A. Gibson, et al.
The effect of a teledermatology program on rural referral patterns to dermatologists and the management of skin disease.
Medinfo, 9 Pt 1 (1998), pp. 290-293
[41.]
A.M. Oakley.
Teledermatology in New Zealand.
J Cutan Med Surg, 5 (2001), pp. 111-116
[42.]
J.L. Jorizzo, C.M. Phillips, D.C. Balch, S.J. Schanz, A.E. Branigan.
Teledermatology: Issues in remote diagnosis and management of cutaneous disease.
Curr Probl Dermatol, 14 (2002), pp. 5-38
[43.]
C.C. Lyon, P.V. Harrison.
A portable digital imaging system in dermatology: diagnostic and educational applications.
J Telemed Telecare, 3 (1997), pp. 81-83
[44.]
C. Cipolat, M. Geiges.
The history of telemedicine.
Curr Probl Dermatol, 32 (2003), pp. 6-11
[45.]
García Vega FJ. Teledermatología, store-and-forward. Santiago de Compostela: Servicio Galego de Saude. Axencia de Avaliación de tecnologías sanitarias de Galicia, avalia-t; Informe: INF2003/03 2003.
[46.]
P.L. Moser, H. Hauffe, I.H. Lorenz, M. Hager, W. Tiefenthaler, H.M. Lorenz, et al.
Publication output in telemedicine during the period January 1964 to July 2003.
J Telemed Telecare, 10 (2004), pp. 72-77
[47.]
R.L. Murphy Jr., T.B. Fitzpatrick, H.A. Haynes, K.T. Bird, T.B. Sheridan.
Accuracy of dermatologic diagnosis by television.
Arch Dermatol, 105 (1972), pp. 833-835
[48.]
T.S. Bergmo.
A cost-minimization analysis of a realtime teledermatology service in northern Norway.
J Telemed Telecare, 6 (2000), pp. 273-277
[49.]
H. Lamminen, M.L. Tuomi, J. Lamminen, H. Uusitalo.
A feasibility study of realtime teledermatology in Finland.
J Telemed Telecare, 6 (2000), pp. 102-107
[50.]
M.A. Loane, R. Corbett, S.E. Bloomer, D.J. Eedy, H.E. Gore, C. Mathews, et al.
Diagnostic accuracy and clinical management by realtime teledermatology. Results from the Northern Ireland arms of the UK Multicentre Teledermatology Trial.
J Telemed Telecare, 4 (1998), pp. 95-100
[51.]
Burg G. Store-and-forward teledermatology. e-medicine 2005. Available from: http://www.emedicine.com/derm/topic560.htm
[52.]
P.S. Whitten.
Teledermatology delivery modalities: real time versus store and forward.
Curr Probl Dermatol, 32 (2003), pp. 24-31
[53.]
Kvedar JC. Teledermatology. e-medicine. 2005. Available from: http://www.emedicine.com/derm/topic527.htm
[54.]
D. Hailey.
Some successes and limitations with telehealth in Canada.
J Telemed Telecare, 7 (2001), pp. 73-75
[55.]
K. Freeman, J. Wynn-Jones, S. Groves-Phillips, L. Lewis.
Teleconsulting: a practical account of pitfalls, problems and promise. Experience from the TEAM project group.
J Telemed Telecare, 2 (1996), pp. 1-3
[56.]
D.A. Perednia.
Fear, loathing, dermatology, and telemedicine.
Arch Dermatol, 13 (1997), pp. 151-155
[57.]
T.L. Finch, F.S. Mair, C.R. May.
Teledermatology in the UK: lessons in service innovation.
Br J Dermatol, 156 (2007), pp. 521-527
[58.]
A.C. Lim, I.B. Egerton, S.P. Shumack.
Australian teledermatology: the patient, the doctor and their government.
Australas J Dermatol, 41 (2000), pp. 8-13
[59.]
S. Lawton, S. Timmons.
The relationship between technology and changing professional roles in health care: A case-study in teledermatology.
Stud Health Technol Inform, 122 (2006), pp. 669-671
[60.]
I.H. Aas.
Learning in organizations working with telemedicine.
J Telemed Telecare, 8 (2002), pp. 107-111
[61.]
I.H. Aas.
Telemedicine and changes in the distribution of tasks between levels of care.
J Telemed Telecare, 8 (2002), pp. 1-2
[62.]
D.A. Perednia, N.A. Brown.
Teledermatology: one application of telemedicine.
Bull Med Libr Assoc, 83 (1995), pp. 42-47
[63.]
Ministerio de Sanidad y Consumo.
Plan de telemedicina del INSALUD.
Insalud, (2000),
[64.]
F. Canto-Neguillo.
Telemedicina: informe de evaluación y aplicaciones en Andalucía.
AETSA, (2000),
[65.]
J.M. Casanova, M.B. Sole, R.M. Marti, M. Baradad, D. Riba, P. Freixanet.
Teledermatología.
Med Cutan Iber Lat Am, 33 (2005), pp. 53-64
[66.]
J.D. Thomas, N.L. Greenberg, M.J. García.
Digital echocardiography 2002: now is the time.
J Am Soc Echocardiogr, 15 (2002), pp. 831-838
[67.]
B.A. Rosenfeld, T. Dorman, M.J. Breslow, P. Pronovost, M. Jenckes, N. Zhang, et al.
Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care.
Crit Care Med, 28 (2000), pp. 3925-3931
[68.]
S.R. Baker, S. Festa.
The use of teleradiology in an emergency setting with speculation on the near future.
Radiol Clin North Am, 37 (1999), pp. 1035-1044
[69.]
J.H. Thrall.
Teleradiology. Part I. History and clinical applications.
Radiology, 243 (2007), pp. 613-617
[70.]
J.H. Thrall.
Teleradiology. Part II. Limitations, risks, and opportunities.
Radiology, 244 (2007), pp. 325-328
[71.]
B. Leinweber, C. Massone, K. Kodama, S. Kaddu, L. Cerroni, J. Haas, et al.
Teledermatopathology: a controlled study about diagnostic validity and technical requirements for digital transmission.
Am J Dermatopathol, 28 (2006), pp. 413-416
[72.]
C. Massone, S.H. Peter, G.P. Lozzi, A. Di Stefani, B. Leinweber, G. Gabler, et al.
Feasibility and diagnostic agreement in teledermatopathology using a virtual slide system.
Hum Pathol, 38 (2007), pp. 546-554
[73.]
M.J. Coma del Corral, M.A. Sánchez, M.C. Gutiérrez, A.F. Conde, M. Ramírez.
Panorama actual de la teledermatopatología.
Monogr Dermatol, 19 (2006), pp. 393-397
[74.]
W. Hersh, J. Wallace, P. Patterson, S.E. Shapiro, D.F. Kraemer, G.M. Eilers, et al.
Telemedicine for the Medicare population.
Evid Rep Technol Assess (Summ), (2001), pp. 1-6
[75.]
D. Moreno-Ramírez, L. Ferrándiz, A.P. Bernal, R.C. Duran, J.J. Martin, F. Camacho.
Teledermatology as a filtering system in pigmented lesion clinics.
J Telemed Telecare, 11 (2005), pp. 298-303
[76.]
F. González, R. Iglesias, A. Suárez, F. Gómez-Ulla, R. Pérez.
Teleophthalmology link between a primary health care centre and a reference hospital.
Med Inform Internet Med, 26 (2001), pp. 251-263
[77.]
L. Goldschmidt.
Telemedicine and information technology at the Veterans Administration Palo Alto Health Care System: serving patient care.
Eff Clin Pract, 1 (1998), pp. 87-89
[78.]
S.A. Norton, A.E. Burdick, C.M. Phillips, B. Berman.
Teledermatology and underserved populations.
Arch Dermatol, 133 (1997), pp. 197-200
[79.]
G. Burg, M. Denz.
The Telemedical Information Society: doctors’ playground or a contribution to the evolution of healthcare?.
Curr Probl Dermatol, 32 (2003), pp. 2-5
[80.]
J. Ferguson.
How to do a telemedical consultation.
J Telemed Telecare, 12 (2006), pp. 220-227
[81.]
A. Haffner, K. Zepter.
The communication revolution goes on—global high-speed networks: setting the pace for future multimedia applications.
Curr Probl Dermatol, 32 (2003), pp. 12-16
[82.]
C. Massone, G.P. Lozzi, E. Wurm, R. Hofmann-Wellenhof, R. Schoellnast, I. Zalaudek, et al.
Cellular phones in clinical teledermatology.
Arch Dermatol, 141 (2005), pp. 1319-1320
[83.]
M. Baba, D. Seckin, S. Kapdagli.
A comparison of teledermatology using store-and-forward methodology alone, and in combination with Web camera videoconferencing.
J Telemed Telecare, 11 (2005), pp. 354-360
[84.]
L. Kuhnis, L. Milesi.
Dermanet—a tailor-made tool for teledermatology.
Curr Probl Dermatol, 32 (2003), pp. 154-157
[85.]
H. Granlund, C.J. Thoden, C. Carlson, K. Harno.
Realtime teleconsultations versus face-to-face consultations in dermatology: immediate and six-month outcome.
J Telemed Telecare, 9 (2003), pp. 204-209
[86.]
A.M. Oakley, M.H. Rennie.
Retrospective review of teledermatology in the Waikato, 1997-2002.
Australas J Dermatol, 45 (2004), pp. 23-28
[87.]
G.P. Lozzi, H.P. Soyer, C. Massone, T. Micantonio, B. Kraenke, M.C. Fargnoli, et al.
The additive value of second opinion teleconsulting in the management of patients with challenging inflammatory, neoplastic skin diseases: a best practice model in dermatology?.
J Eur Acad Dermatol Venereol, 21 (2007), pp. 30-34
[88.]
D. Piccolo, J. Smolle, G. Argenziano, I.H. Wolf, R. Braun, L. Cerroni, et al.
Teledermoscopy—results of a multicentre study on 43 pigmented skin lesions.
J Telemed Telecare, 6 (2000), pp. 132-137
[89.]
A.A. Qureshi, H.A. Brandling-Bennett, S. Giberti, D. McClure, E.F. Halpern, J.C. Kvedar.
Evaluation of digital skin images submitted by patients who received practical training or an online tutorial.
J Telemed Telecare, 12 (2006), pp. 79-82
[90.]
D. Moreno, L. Ferrándiz, A. Ruiz, A. Nieto.
Teledermatología. Metodología de trabajo y aplicaciones.
Monografías de dermatología, 19 (2006), pp. 348-355
[91.]
T.W. Van den Akker, C.H. Reker, A. Knol, J. Post, J. Wilbrink, J.P. van der Veen.
Teledermatology as a tool for communication between general practitioners and dermatologists.
J Telemed Telecare, 7 (2001), pp. 193-198
[92.]
L. Ferrándiz, F. Vásquez, D. Moreno-Ramírez.
Teleconsulta prequirúrgica en pacientes con cáncer de piel.
Monogr Dermatol, 19 (2006), pp. 378-385
[93.]
R.P. Braun, M. Meier, F. Pelloni, A.A. Ramelet, M. Schilling, B. Tapernoux, et al.
Teledermatoscopy in Switzerland: a preliminary evaluation.
J Am Acad Dermatol, 42 (2000), pp. 770-775
[94.]
C. Cipolat, U. Bader, T. Rufli, G. Burg.
Teledermatology in Switzerland.
Curr Probl Dermatol, 32 (2003), pp. 257-260
[95.]
C. Massone, H.P. Soyer, R. Hofmann-Wellenhof, A. Di Stefani, G.P. Lozzi, G. Gabler, et al.
Two years’ experience with Web-based teleconsulting in dermatology.
J Telemed Telecare, 12 (2006), pp. 83-87
[96.]
H.B. Gladstone, G.J. Raugi, D. Berg, J. Berkley, S. Weghorst, M. Ganter.
Virtual reality for dermatologic surgery: virtually a reality in the 21st century.
J Am Acad Dermatol, 42 (2000), pp. 106-112
[97.]
A.J. Vartanian, J. Holcomb, Z. Ai, M. Rasmussen, M.E. Tardy, J.R. Thomas.
The virtual nose: a 3-dimensional virtual reality model of the human nose.
Arch Facial Plast Surg, 6 (2004), pp. 328-333
[99.]
J.D. Whited, R.P. Hall, D.L. Simel, M.E. Foy, K.M. Stechuchak, R.J. Drugge, et al.
Reliability and accuracy of dermatologists’ clinic-based and digital image consultations.
J Am Acad Dermatol, 41 (1999), pp. 693-702
[100.]
D.A. Perednia, J.A. Gaines, T.W. Butruille.
Comparison of the clinical informativeness of photographs and digital imaging media with multiple-choice receiver operating characteristic analysis.
Arch Dermatol, 131 (1995), pp. 292-297
[101.]
A. Bittorf, M. Fartasch, G. Schuler, T.L. Diepgen.
Resolution requirements for digital images in dermatology.
J Am Acad Dermatol, 37 (1997), pp. 195-198
[102.]
A.C. Lim, I.B. Egerton, A. See, S.P. Shumack.
Accuracy and reliability of store-and-forward teledermatology: preliminary results from the St George Teledermatology Project.
Australas J Dermatol, 42 (2001), pp. 247-251
[103.]
H.S. Pak.
Teledermatology and teledermatopathology.
Semin Cutan Med Surg, 21 (2002), pp. 179-189
[104.]
T.L. Williams, A. Esmail, C.R. May, C.E. Griffiths, N.T. Shaw, D. Fitzgerald, et al.
Patient satisfaction with teledermatology is related to perceived quality of life.
Br J Dermatol, 145 (2001), pp. 911-917
[105.]
H. Boesch, G. Airaghi.
Secure transfer of medical data over the Internet: from regulatory data protection jam to frame-work-based requirements.
Curr Probl Dermatol, 32 (2003), pp. 71-75
[106.]
L. Puig.
Confidencialidad y seguridad informática en dermatología.
Piel, 14 (1999), pp. 128-132
[108.]
Silverman RD. Current legal and ethical concerns in telemedicine and e-medicine. J Telemed Telecare. 2003; 9 Suppl 1:S67-9.
[110.]
S. Wallace, L. Sibson, B. Stanberry, D. Waters, P. Goodall, R. Jones, et al.
The legal and risk management conundrum of telemedicine.
J Telemed Telecare, 5 (1999), pp. S8-S9
[111.]
A. García, E. Paseiro, A. García, R. Bugarin.
Accesibilidad de servicios y telemedicina. Aplicación informática de telemedicina asistencial del Servicio Gallego de Salud.
Todo Hosp, 191 (2002), pp. 676-683
Copyright © 2008. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
