Document Detail


Telemedicine versus in-person dermatology referrals: an analysis of case complexity.
MedLine Citation:
PMID:  12079603     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The goal of this study was to determine whether teledermatology referrals differ significantly from in-person referrals with respect to case complexity and diagnosis of cases referred. Teledermatology cases were compared to in-person cases seen by the same university dermatologist who also reviews the teledermatology cases. These were also compared with in-person cases evaluated by a different dermatologist at local clinics using traditional referral patterns. Study parameters included Current Procedural Terminology (CPT) codes as a measure of case complexity, International Classification of Disease (ICD) codes as a measure of case types, and time from referral to actual consultation. The most common CPT codes used for teledermatology were 99241 and 99242 with no significant differences in the frequency of assigned CPT codes for teledermatology versus in-person consultation. An analysis of the diagnostic codes revealed no significant differences between the types of cases referred to telemedicine and those referred for in-person consultation. Time between referral and actual encounter with the dermatologist was significantly shorter via telemedicine than either local or university clinic in-person visits.
Authors:
Elizabeth Krupinski; Gail Barker; Gilmer Rodriguez; Michael Engstrom; Norman Levine; Ana Maria Lopez; Ronald S Weinstein
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Telemedicine journal and e-health : the official journal of the American Telemedicine Association     Volume:  8     ISSN:  1530-5627     ISO Abbreviation:  Telemed J E Health     Publication Date:  2002  
Date Detail:
Created Date:  2002-06-24     Completed Date:  2002-07-23     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  100959949     Medline TA:  Telemed J E Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  143-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Arizona, Tucson, Arizona 85724, USA. krupinsky@radiology.Arizona.edu
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MeSH Terms
Descriptor/Qualifier:
Chi-Square Distribution
Dermatology / standards*
Humans
Referral and Consultation / standards*
Skin Diseases / classification*,  diagnosis
Telemedicine / standards*
Grant Support
ID/Acronym/Agency:
H2A-TM-00236//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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