%0 Journal Article
%T Concordance studies of a web based system in teledermatology
%A Ruiz
%A Carlos
%A Gaviria
%A Claudia
%A Gait¨¢n
%A Miguel
%A Manrique
%A Rub¨¦n
%A Zuluaga
%A ¨¢ngela
%A Trujillo
%A Andr¨¦s
%J Colombia M¨¦dica
%D 2009
%I Scientific Electronic Library Online
%X introduction: implementation of teledermatology in primary care offers the possibility of treating patients using specific dermatologic knowledge in far away places with infrequent availability to these services. it is a priority to implement teledermatology services which demonstrate diagnostic reliability and satisfaction among users. objectives and methods: to measure the diagnostic reliability of an asynchronous teledermatology web based application by means of intraobserver and interobserver concordance during teleconsultation and traditional presential (£¿face to face£¿) consultation. furthermore, to evaluate user satisfaction regarding the teleconsultation and the web application. results: a sample of 82 patients with 172 dermatologic diagnoses was obtained, in which an intraobserver concordance between 80.8% and 86.6%, and an interobserver concordance between 77.3% and 79.6% were found. satisfaction was evaluated to be on an average of 92.5%. conclusions: the teleconsultation reliability in teledermatology is evidenced to be high, and is susceptible of improvement through the implementation of health information standards and digital dermatologic photography protocols.
%K telemedicine
%K teledermatology
%K diagnostic concordance
%K satisfaction.
%U http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S1657-95342009000300003&lng=en&nrm=iso&tlng=en