TY -非盟的香槟,特盟——罗索,彼得•G AU -柯克Veronica盟——濑户,艾米丽PY - 2018 DA - 2018/12/17 TI -影响的Intrainstitutional Teledermatology服务:混合方法的案例研究乔- JMIR北京医学SP - e11923六世- 1 = - 2 KW -皮肤科KW - e-health KW - Teledermatology AB -背景:Teledermatology提供及时获得咨询皮肤科服务同时减少需要患者在农村和缺医少药地区旅行。然而，关于这种服务在城市地区的潜在好处的知识是有限的。目的:本研究旨在确定一个地理上不受限制的，机构内的，安全的，电子邮件远程皮肤科服务对皮肤科的影响。方法:我们采用混合方法方法，使用图表回顾、调查和来自加拿大健康信息方式福利评估框架的半结构化访谈。回顾患者图表的人口统计学、临床特征和结果。电子和纸质调查被发送给患者和提供者，以量化服务的各个方面，如满意度和可用性，在李克特量表上。对转诊提供者和学术顾问皮肤科医生进行了半结构化访谈，这些医生正在考虑将远程皮肤科作为他们的实践。访谈记录和分析使用手工编码和专题分析，由第一作者和第二个独立审稿人。所有的结果同时在一个全面的分析三角。结果:在18个月的时间里，共审查了76次会诊，其中84%的会诊在没有亲自访问的情况下得到了完全管理。 Only 6% of rashes required a subsequent in-person visit to a dermatologist for management, compared to 41% of lesions. In addition, 28% (21/76) of patients responded to the survey. Patients “strongly agreed” to use the service again, were satisfied with the management of their skin issue, and thought the service saved them time. In general, providers who answered the electronic survey “strongly agreed” that the service demonstrated quality, timeliness, and an educational benefit, but increased their administrative time. A total of 9 interviews of 5 referring providers and 4 dermatologists were completed. Triangulation of all study components supported the hypothesis that teledermatology benefits providers, patients, and the health care system. Conclusions: Intrainstitutional teledermatology has high satisfaction among patients and providers and saves patients time, even when there are no geographic or systemic barriers to access. This service may be most effective when targeted at rashes rather than lesions. Additional research on the cost-effectiveness and educational benefits of this service is warranted. SN - 2562-0959 UR - http://derma.www.mybigtv.com/2018/2/e11923/ UR - https://doi.org/10.2196/11923 DO - 10.2196/11923 ID - info:doi/10.2196/11923 ER -