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1 - Introduction

Published online by Cambridge University Press:  29 September 2009

John D. Whited
Affiliation:
Center for Health Services Research in Primary Care, Duke University Medical Center, Durham, North Carolina, USA
Karen E. Edison
Affiliation:
Department of Dermatology and Missouri Telehealth Network, University of Missouri, Columbia, Missouri, USA
Hon S. Pak
Affiliation:
Telemedicine and Advanced Technology Research Center, Fort Detrick, Maryland, USA
Hon S. Pak
Affiliation:
Brooke Army Medical Center, San Antonio, Texas
Karen E. Edison
Affiliation:
University of Missouri, Columbia
John D. Whited
Affiliation:
Duke University Medical Center, Durham
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Summary

The goal of this book is to provide practical guidance for anyone who is interested in initiating a teledermatology program or expanding their current system. This book was written for a wide audience to include anyone in a private practice, academic center, large multispecialty clinic, state or federal sector.

To build a successful program several features require consideration and each is addressed in turn throughout this book. Specifically, relevant questions include the following:

  1. What are your motivating factors? Do you want to increase access for the underserved? Increase your revenue stream? Maximize flexibility in your lifestyle? Or a combination of these factors?

  2. What type of technology should you implement – store-and-forward, real-time interactive, or a hybrid model?

  3. What are the equipment needs?

  4. What communication systems are available for data transmission?

  5. Who should be targeted as users (e.g., referring clinicians, patient population, and/or participating teledermatologists)?

  6. Is teledermatology a sustainable enterprise and what are the business models that can be followed?

  7. Is teledermatology reimbursable and, if so, how?

  8. Is image quality good, and what are the training requirements?

  9. Is teledermatology a diagnostically viable way of delivering dermatologic healthcare?

  10. What legal, regulatory, and confidentiality issues arise?

  11. What are the ethical considerations of using the technology?

  12. Can teledermatology be integrated into dermatology training programs?

Although this may seem like a daunting list, it should not discourage you from pursuing a teledermatology implementation plan. With proper fore-thought and planning, the development of a teledermatology program can be tremendously successful.

Type
Chapter
Information
Teledermatology
A User's Guide
, pp. 1 - 4
Publisher: Cambridge University Press
Print publication year: 2008

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References

Murphy, RLH, Bird, KT.Telediagnosis: A new community health resource. Observations on the feasibility of telediagnosis based on 1000 patient transactions. Am J Public Health 1974;64:113–19.CrossRefGoogle ScholarPubMed
Murphy, RLH, Fitzpatrick, TB, Haynes, HA, Bird, KT, Sheridan, TB.Accuracy of dermatologic diagnosis by television. Arch Dermatol 1972;105:833–5.CrossRefGoogle ScholarPubMed
Telemedicine for the Medicare Population. Summary, Evidence Report/Technology Assessment: Number 24. AHRQ Publication Number 01-E011, February 2001. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/epcsums/telemedsum.htm. Last accessed on August 16, 2007.

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  • Introduction
    • By John D. Whited, Center for Health Services Research in Primary Care, Duke University Medical Center, Durham, North Carolina, USA, Karen E. Edison, Department of Dermatology and Missouri Telehealth Network, University of Missouri, Columbia, Missouri, USA, Hon S. Pak, Telemedicine and Advanced Technology Research Center, Fort Detrick, Maryland, USA
  • Edited by Hon S. Pak, Karen E. Edison, University of Missouri, Columbia, John D. Whited, Duke University Medical Center, Durham
  • Book: Teledermatology
  • Online publication: 29 September 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547386.001
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  • Introduction
    • By John D. Whited, Center for Health Services Research in Primary Care, Duke University Medical Center, Durham, North Carolina, USA, Karen E. Edison, Department of Dermatology and Missouri Telehealth Network, University of Missouri, Columbia, Missouri, USA, Hon S. Pak, Telemedicine and Advanced Technology Research Center, Fort Detrick, Maryland, USA
  • Edited by Hon S. Pak, Karen E. Edison, University of Missouri, Columbia, John D. Whited, Duke University Medical Center, Durham
  • Book: Teledermatology
  • Online publication: 29 September 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547386.001
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Introduction
    • By John D. Whited, Center for Health Services Research in Primary Care, Duke University Medical Center, Durham, North Carolina, USA, Karen E. Edison, Department of Dermatology and Missouri Telehealth Network, University of Missouri, Columbia, Missouri, USA, Hon S. Pak, Telemedicine and Advanced Technology Research Center, Fort Detrick, Maryland, USA
  • Edited by Hon S. Pak, Karen E. Edison, University of Missouri, Columbia, John D. Whited, Duke University Medical Center, Durham
  • Book: Teledermatology
  • Online publication: 29 September 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547386.001
Available formats
×