Abstract：
:This is part II of an intraobserver diagnostic correlation study comparing teledermatology with traditional face-to-face evaluation. Part I discussed the methodology and diagnostic correlation results between teledermatology and in-person consultation (Cutis. 2003;71:399-403). This second part reports the diagnostic certainty level between the 2 groups, which are shown to be significantly different (teledermatology, 7/10; in-person, 9/10). This difference held true in every category of skin condition evaluated (P < or = .0065). Unlike other studies, we found that teledermatologists recommended biopsies 10% more frequently than clinic-based evaluators. We discuss the reasons for the lower diagnostic certainty level of teledermatologists, as well as the limitations of this study. Despite the limitations, we conclude that teledermatology appears to be an effective method of delivering dermatologic care in the appropriate setting.
journal_name
Cutisjournal_title
Cutisauthors
Pak HS,Harden D,Cruess D,Welch ML,Poropatich R,National Capital Area Teledermatology Consortium.subject
Has Abstractpub_date
2003-06-01 00:00:00pages
476-80issue
6eissn
0011-4162issn
2326-6929journal_volume
71pub_type
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