RESEARCHOriginal article |



* Department of Dermatology, Medical University of Graz, Graz, Austria;
Department of Dermatology, Medical University of Vienna, Vienna, Austria;
Department of Dermatology, University of LAquila, LAquila, 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
5 to
50 per consultation (mean
22) (
= £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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