J Telemed Telecare. 2001;7(5):257-65.

A comparative study of teleconsultations versus face-to-face consultations.

Nordal EJ, Moseng D, Kvammen B, Løchen ML.

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Department of Dermatology, University Hospital of Tromsø, Tromsø, Norway. eli.nordal@ulleval.no

Abstract

We compared the diagnoses made by one dermatologist via telemedicine with those of another dermatologist made in a face-to-face consultation. The patients first underwent a teledermatology consultation and then a face-to-face consultation. A general practitioner was present with the patient in the videoconference studio. Videoconferencing equipment connected at 384 kbit/s was used. The doctor-patient relationship and the satisfaction of the patients and dermatologists in the two settings were assessed, as well as technical conditions during the videoconferences. There were 121 patients, with a mean age of 40 years (range 17-82 years). There was a high degree of concordance between the two sets of diagnoses, with 72% complete agreement and 14% partial agreement between the two dermatologists. A total of 116 patients (96% of those included) completed a questionnaire. Both the patients and the dermatologists were in general satisfied with the videoconferences. Videoconferencing with a participating general practitioner may be useful in dermatology, but the technique should be used only for selected patients.

PMID:: 11571079; [PubMed - indexed for MEDLINE]

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