Book contents
- Frontmatter
- Contents
- Acknowledgments
- List of contributors
- 1 Introduction
- 2 Teledermatology modalities
- 3 Telemedicine implementation and reimbursement surveys
- 4 Review of literature
- 5 Policies, barriers, and other issues
- 6 Business models
- 7 Reimbursement models for teledermatology
- 8 Getting started
- 9 Ethical implications in the use of telehealth and teledermatology
- 10 Teledermatology in dermatology residency
- 11 Art of teledermatology
- Appendix A Sample patient questionnaire/survey form
- Appendix B Sample teledermatology history intake form
- Appendix C Training requirements for a store-and-forward teledermatology consult manager
- Appendix D Store-and-forward teledermatology imaging protocol
- Appendix E Sample technical protocol for real-time teledermatology
- Appendix F Store-and-forward teledermatology protocol
- Appendix G Real-time interactive teledermatology protocol
- Appendix H Is teledermatology right for you (private practice dermatologists)?
- Index
2 - Teledermatology modalities
Published online by Cambridge University Press: 29 September 2009
- Frontmatter
- Contents
- Acknowledgments
- List of contributors
- 1 Introduction
- 2 Teledermatology modalities
- 3 Telemedicine implementation and reimbursement surveys
- 4 Review of literature
- 5 Policies, barriers, and other issues
- 6 Business models
- 7 Reimbursement models for teledermatology
- 8 Getting started
- 9 Ethical implications in the use of telehealth and teledermatology
- 10 Teledermatology in dermatology residency
- 11 Art of teledermatology
- Appendix A Sample patient questionnaire/survey form
- Appendix B Sample teledermatology history intake form
- Appendix C Training requirements for a store-and-forward teledermatology consult manager
- Appendix D Store-and-forward teledermatology imaging protocol
- Appendix E Sample technical protocol for real-time teledermatology
- Appendix F Store-and-forward teledermatology protocol
- Appendix G Real-time interactive teledermatology protocol
- Appendix H Is teledermatology right for you (private practice dermatologists)?
- Index
Summary
There are three major teledermatology modalities. Live-interactive and store-and-forward are the two most common modalities with the hybrid model that includes elements of both live-interactive and store-and-forward technologies emerging as the third new modality. Each modality has its advantages and disadvantages and selection is based on the needs of the organization, the dermatology resources available, the teledermatology visit and/or consult volume, existing communication infrastructure, and the objectives of the program.
Live-interactive teledermatology
Live-interactive teledermatology takes advantage of videoconferencing as its core technology. Participants are separated by distance, but interact in real time. Thus, live-interactive patient visits are also known as synchronous visits or consults. By convention, the site where the patient is located is referred to as the originating site and the site where the consultant is located is referred to as the distant site. A high-resolution camera or monitor is required at the originating site. Videoconferencing systems work optimally when a connection speed of 384 kbps or higher is used. Slower connection speeds may necessitate that the individual presenting the patient perform either a still-image capture or a freeze-frame to render a diagnostic image. For most diagnostic images, a minimum resolution of 800 × 600 pixels (480,000) is required.
Live-interactive interactions are initiated similar to in-person dermatological care. Patients may make their own teledermatology appointments or a referring provider may request the visit. A live-interactive appointment is scheduled in a manner similar to that of conventional clinic-based visits.
- Type
- Chapter
- Information
- TeledermatologyA User's Guide, pp. 5 - 8Publisher: Cambridge University PressPrint publication year: 2008