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Journal of Telemedicine and Telecare

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J Telemed Telecare 2008;14:2-7
doi:10.1258/jtt.2007.070302
© 2008 Royal Society of Medicine Press

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RESEARCH

Original article

Mobile teledermatology: a feasibility study of 58 subjects using mobile phones

Christoph Ebner *, Elisabeth MT Wurm *, Barbara Binder *, Harald Kittler {dagger}, Gian Piero Lozzi {ddagger}, Cesare Massone *, Gerald Gabler §, Rainer Hofmann-Wellenhof * and H Peter Soyer * 


* Department of Dermatology, Medical University of Graz, Graz, Austria; {dagger} Department of Dermatology, Medical University of Vienna, Vienna, Austria; {ddagger} Department of Dermatology, University of L’Aquila, L’Aquila, Italy; § Department of IT and Telecommunications, Graz University Clinics and General Hospital, Graz, Austria


Correspondence: Dr H Peter Soyer, Department of Dermatology, Research Unit of Teledermatology, Medical University of Graz, Auenbruggerplatz 8, A-8036 Graz, Austria (Fax: +43 316 385 4957; Email: peter.soyer{at}meduni-graz.at)


We investigated the diagnostic agreement between teledermatology based on images from a mobile phone camera and face-to-face (FTF) dermatology. Diagnostic agreement was assessed for two teledermatologists (TD) in comparison with FTF consultations in 58 subjects. In almost three-quarters of the cases (TD1: 71%; TD2: 76%), the telediagnosis was fully concordant with the FTF diagnosis. Furthermore, the diagnosed diseases were almost all in the same diagnostic category (TD1: 97%; TD2: 90%). If mobile teledermatology had been used for remote triage, TD1 could have treated 53% subjects remotely and 47% subjects would have had to consult a dermatologist FTF. TD2 could have treated 59% subjects remotely, whereas 41% subjects would have had to consult a dermatologist FTF. Forty-eight subjects responded to a questionnaire, of whom only 10 had any concerns regarding teledermatology. Thirty-one subjects stated that they would be willing to pay to use a similar service in future and suggested an amount ranging from {euro}5 to {euro}50 per consultation (mean {euro}22) ({euro} = £0.7, US $1.4). These results are encouraging as patient acceptance and reimbursement represent potential obstacles to the implementation of telemedicine services.


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This article has been cited by other articles:


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J Telemed TelecareHome page
W. Park, D.-K. Kim, J.-C. Kim, K.-D. Kim, and S. K Yoo
A portable dental image viewer using a mobile network to provide a tele-dental service
J Telemed Telecare, April 1, 2009; 15(3): 145 - 149.
[Abstract] [Full Text] [PDF]



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