Teledermatology and In-Person Examinations: A Comparison of Patient and Physician Perceptions and Diagnostic Agreement

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Abstract

Objective

To compare physician and patient impressions and interphysician diagnostic agreement between live teledermatology and in-person examinations.

Design

Paired video and in-person examinations with different dermatologists.

Setting

An urban Veterans Affairs dermatology clinic.

Patients

One hundred thirty-nine patients.

Main Outcome Measures

Satisfaction questionnaires and interphysician diagnostic agreement.

Results

Patient and physician satisfaction was high. Agreement between video and in-person diagnoses was 80%.

Conclusions

Physicians and patients were satisfied with teledermatology examinations. Diagnostic agreement between in-person and video dermatologists was high.

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