Teledermatology: current indications and considerations for future use
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REVIEW
Teledermatology: current indications and considerations for future use Jacob Beer1 · Edward Hadeler2 · Alejo Calume3 · Howard Gitlow3 · Keyvan Nouri2 Received: 16 September 2020 / Revised: 16 September 2020 / Accepted: 8 October 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Telemedicine is one of the most consequential technologies in modern healthcare. In certain situations, it allows for the delivery of care with high quality and minimal difficulty. This is particularly true in dermatology, in which many dermatological conditions can be treated remotely. The burden on dermatology patients has been greatly reduced for certain pathologies due to telemedicine. Health care providers also achieve improved job satisfaction following the convenience of meeting their patients. This paper details select dermatological conditions, and subsequently divides them into those treatable by telemedicine appointments, and those requiring face to face appointments. Keywords Telemedicine · Teledermatology
Introduction Telemedicine is among the recent pivotal advancements in modern medicine, allowing physicians to diagnose and administer treatments remotely, without having to be face to face with the patient. This practice involves electronic communication, where clinical services are provided without the patient having to visit the health care professional. The technology has been successfully incorporated into a number of clinical services: consultations, follow-ups visits, and medication prescriptions. Telemedicine has been observed to have ample benefits to both the health care provider and the patient, with one of the greatest being its improved access [1–4]. Perhaps the field most conducive to advances in telemedicine is dermatology, in which many diagnoses are made visually. While teledermatology has been widely incorporated, it does not allow for appropriate care in all skin conditions [5, 6]. Certain dermatologic conditions may
* Jacob Beer [email protected] 1
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
2
Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA
3
Miami Herbert Business School, University of Miami, Miami, FL, USA
necessitate in-person visits, since not all treatments could be done through videos, images or a phone call.
Methods This review was conducted by running keywords through PubMed and GoogleScholar. Search terms included teledermatology, telemedicine, store-and-forward, as well as cross-searches with the diseases of interest, including atopic dermatitis, acne, psoriasis, skin cancer, surveillance, melanoma, and pigmented lesions. Case reports, case series, systematic reviews, and original research articles spanning from January 2000 to August 2020 were thoroughly evaluated by 2 reviewers. Non-English studies were not included in this discussion.
Literature review Ample research has been conducted on the use of telemedicine
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