PMID- 32563581
OWN - NLM
STAT- MEDLINE
DCOM- 20201223
LR  - 20201223
IS  - 0929-6646 (Print)
IS  - 0929-6646 (Linking)
VI  - 120
IP  - 1 Pt 2
DP  - 2021 Jan
TI  - Live-interactive teledermatology program in Taiwan: One-year experience serving a 
      district hospital in rural Taitung County.
PG  - 422-428
LID - S0929-6646(20)30236-9 [pii]
LID - 10.1016/j.jfma.2020.06.007 [doi]
AB  - BACKGROUND/PURPOSE: Population aging and unequal accessibility of health care are 
      increasingly important in developed countries. One strategy to overcome these 
      issues is utilizing telemedicine, which is recently made possible technologically 
      by the advancement of internet speed, high speed zooming cameras, and the 
      information storages. In Taiwan, the telemedicine is granted legally by the 
      amendment for Taiwan's Physician Act in 2018. METHODS: Kaohsiung Chang Gung 
      Memorial Hospital (Kaohsiung CGMH) is the first hospital in Taiwan to provide the 
      telemedicine service connecting to Cheng Kung Branch of Taitung Hospital since 
      Nov 2018. Consultation services from Dermatology, ENT, and Ophthalmology have 
      been delivered in the live-interactive and face to face module every week. 
      RESULTS: Dermatology consultation comprises the majorities. In the first year, 
      there were totally 426 dermatology consultation services. Eczema, fungal 
      infections, and scabies infestation were the three most common diseases in the 
      beginning. The disease diagnosis became more diverse after several months, 
      including some ready-to-treat diseases pending correct diagnosis, such as 
      pediculosis, psoriasis, and urticaria. Coupled with dermoscopic images, diseases 
      such as hair loss, pediculosis capitis, skin tumor, and scabies, were diagnosed 
      promptly. The subjective patient improvement rate was more than 75% year-round 
      and the case closure rate was more than 85% year-round. CONCLUSION: 
      Teledermatology is a promising approach to serve the remote 
      medical-underprivileged regions. The teledermatology is anticipated to help 
      underserved regions, nursing homes, prisons, and in situations with severe 
      pandemic infections, such as COVID-19.
CI  - Copyright (c) 2020 Formosan Medical Association. Published by Elsevier B.V. All 
      rights reserved.
FAU - Lee, Chih-Hung
AU  - Lee CH
AD  - Department of Dermatology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung 
      University College of Medicine, Kaohsiung, Taiwan.
FAU - Huang, Chu-Chen
AU  - Huang CC
AD  - Department of Nursing, Taitung Hospital, Ministry of Health and Welfare, Taitung, 
      Taiwan.
FAU - Huang, Jui-Ting
AU  - Huang JT
AD  - Administrative Office, Kaohsiung Chang Gung Memorial Hospital and Chang Gung 
      University College of Medicine, Kaohsiung, Taiwan.
FAU - Wang, Chih-Chi
AU  - Wang CC
AD  - Department of General Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang 
      Gung University College of Medicine, Kaohsiung, Taiwan.
FAU - Fan, Sheng
AU  - Fan S
AD  - Department of Internal Medicine, Taitung Hospital, Ministry of Health and 
      Welfare, Taitung, Taiwan.
FAU - Wang, Pi-Sheng
AU  - Wang PS
AD  - Hospital and Social Welfare Organizations Administration Commission, Ministry of 
      Health and Welfare, Taipei, Taiwan. Electronic address: vasports1937@gmail.com.
FAU - Lan, Kuo-Chung
AU  - Lan KC
AD  - Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital 
      and Chang Gung University College of Medicine, Kaohsiung, Taiwan. Electronic 
      address: blue@cgmh.org.tw.
LA  - eng
PT  - Journal Article
DEP - 20200617
PL  - Singapore
TA  - J Formos Med Assoc
JT  - Journal of the Formosan Medical Association = Taiwan yi zhi
JID - 9214933
SB  - IM
MH  - Dermatology/*methods/organization & administration
MH  - Health Services Accessibility/*organization & administration
MH  - *Hospitals, District
MH  - *Hospitals, Rural
MH  - Humans
MH  - Rural Health Services/*organization & administration
MH  - *Skin Diseases/diagnosis/therapy
MH  - Taiwan
MH  - Telemedicine/*methods/organization & administration
OTO - NOTNLM
OT  - Live-interactive
OT  - Taiwan
OT  - Teledermatology
OT  - Telemedicine
EDAT- 2020/06/22 06:00
MHDA- 2020/12/29 06:00
CRDT- 2020/06/22 06:00
PHST- 2020/05/06 00:00 [received]
PHST- 2020/05/24 00:00 [revised]
PHST- 2020/06/02 00:00 [accepted]
PHST- 2020/06/22 06:00 [pubmed]
PHST- 2020/12/29 06:00 [medline]
PHST- 2020/06/22 06:00 [entrez]
AID - S0929-6646(20)30236-9 [pii]
AID - 10.1016/j.jfma.2020.06.007 [doi]
PST - ppublish
SO  - J Formos Med Assoc. 2021 Jan;120(1 Pt 2):422-428. doi: 
      10.1016/j.jfma.2020.06.007. Epub 2020 Jun 17.