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Bertin C, Diakite A, Carton B, Wozniak C, Nathanson S, Monnier S, Sin C, Dommergues MA, Parigot J, Moreau F, Sigal ML, Foucaud P, Greder A, Mahé E. [Teledermatology between two French hospitals: Two years of experience]. Ann Dermatol Venereol 2017; 144:759-767. [PMID: 28803665 DOI: 10.1016/j.annder.2017.06.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2016] [Revised: 02/20/2017] [Accepted: 06/27/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND Teledermatology is currently booming. Due to the shortage of dermatologists in hospitals access to dermatological consultations is very limited in some hospitals. We present our experience of collaboration between an expert center, the dermatology department of the Victor-Dupouy Hospital Centre in Argenteuil, and all medical structures under the André-Mignot Hospital in Versailles (CHV), including 2 prison medical centers (UCSA), traditional departments and emergency department. PATIENTS AND METHODS Teledermatology, developed in the form of tele-expertise, began at the UCSA in November 2013. This expertise was then extended in June 2014 to the Internal Medicine department of CHV, and in December 2014 to all departments, including the emergency department. The rules and ethics of teledermatology were strictly adhered to. While UCSA could file all expertise dossiers, only urgent or difficult cases could be filed by other CHV departments. RESULTS In 26 months, 347 expertise requests were filed: 231 by prisons and 116 by the other departments of the CHV. No patients refused teledermatology. The quality of information and photographs was considered good or excellent in over 95% of cases. A response was given within 3hours in more than 50% of cases and in all cases within 24hours (on working days). Analysis of diseases diagnosed illustrates the wide variety of conditions encountered in dermatology, with different structures having their own specific features. CONCLUSION Our example illustrates the possibility of developing such an inter-hospital platform. However, it does not yet cater for requests made by patients to dermatologists, by dermatologists to dermatologists, or by dermatologists to the hospital teledermatology department. Acceptability was considered excellent by patients (with no refusals), physicians at the CHV, and the expert center.
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Affiliation(s)
- C Bertin
- Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France
| | - A Diakite
- Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France
| | - B Carton
- Unité de consultations et soins ambulatoires, Maison d'Arrêt-de-Bois-d'Arcy, centre hospitalier de Versailles, 5, rue Alexandre-Turpault, 78390 Bois-d'Arcy, France; Unité de consultations et soins ambulatoires, Maison d'Arrêt de Versailles, centre hospitalier de Versailles, 28, avenue de Paris, 78000 Versailles, France
| | - C Wozniak
- Groupement de coopération sanitaire, service numérique de santé (SESAN), 10, rue du Faubourg-Montmartre, 75009 Paris, France
| | - S Nathanson
- Service de pédiatrie, centre hospitalier André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France
| | - S Monnier
- Service de médecine interne et maladies infectieuses, centre hospitalier André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France
| | - C Sin
- Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France
| | - M-A Dommergues
- Service de pédiatrie, centre hospitalier André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France
| | - J Parigot
- Groupement de coopération sanitaire, service numérique de santé (SESAN), 10, rue du Faubourg-Montmartre, 75009 Paris, France
| | - F Moreau
- Unité de consultations et soins ambulatoires, Maison d'Arrêt-de-Bois-d'Arcy, centre hospitalier de Versailles, 5, rue Alexandre-Turpault, 78390 Bois-d'Arcy, France; Unité de consultations et soins ambulatoires, Maison d'Arrêt de Versailles, centre hospitalier de Versailles, 28, avenue de Paris, 78000 Versailles, France
| | - M-L Sigal
- Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France
| | - P Foucaud
- Service de pédiatrie, centre hospitalier André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France
| | - A Greder
- Service de médecine interne et maladies infectieuses, centre hospitalier André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France
| | - E Mahé
- Service de dermatologie, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France.
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