PENGGUNAAN TELEMEDISIN PADA DERMATOLOGI DI ERA DIGITAL
Abstrak
Telemedisin merupakan teknologi komunikasi yang berkembang dengan mengumpulkan informasi klinis untuk mendukung memenuhi kebutuhan kesehatan pasien dari jarak jauh. Bidang dermatologi sesuai untuk penerapan telemedisin karena mayoritas kelainan kulit dapat terlihat dengan mata. Teledermatologi (TD) didefinisikan sebagai praktik layanan dermatologi jarak jauh dengan bantuan teknologi komunikasi. Tingginya prevalensi penyakit kulit, wilayah yang luas, variasi kondisi ekonomi, kemajuan teknologi, dan peningkatan kebutuhan layanan dermatologi membuat TD semakin diperlukan. Pelaksanaan TD memerlukan kerjasama dengan provider yang mengerti dan memahami berbagai aturan di bidang kesehatan, mampu membangun serta membina hubungan antara pasien dan provider, serta menjalin kerjasama dengan asuransi kesehatan. Ada tiga jenis modalitas teknologi TD, yaitu store and forward (SNF), real time (RT), dan hybrid. TD juga mempunyai empat macam model praktek, yaitu konsultasi, triase, direct care, dan follow-up. Modalitas teknologi dan variasi model praktek mendukung TD menjadi alternatif dalam pelaksanakan layanan kesehatan sehingga dapat mengurangi angka kunjungan yang tidak perlu, memonitor perkembangan penyakit kulit kronis, memberikan rekomendasi terapi terkini, mengedukasi dan membuat pasien lebih berperan aktif dalam berkomunikasi dengan dermatologis.
Kata kunci: dermatologi, teledermatologi, telemedisin, dermatologis
References
2. Boudreaux ED, Waring ME, Hayes RB, Sadasivam RS, Mullen S, Pagoto S. Evaluating And Selecting Mobile Health Apps: Strategies For Healthcare Providers And Healthcare Organizations. Transl Behav Med. 2014 Dec;4(4):363–71.
3. Wolf J.A., Moreau J.F., Patton T.J., Winger D.G., Ferris L.K. Prevalence and Impact of Health-Related Internet and Smartphone Use Among Dermatology Patients. Cutis 2015; 95(6):323-8.
4. Wallace S., Clark M., White J. 'It's on my iPhone': attitudes to the use of mobile computing devices in medical education, a mixed-methods study. BMJ Open. 2012; 24;2(4).
5. Coates S.J., Kvedar J., Granstein R.D. Teledermatology: from historical perspective to emerging techniques of the modern era: part I: History, rationale, and current practice. J Am Acad Dermatol. 2015 Apr;72(4):563-74.
6. McKoy K., Antoniotti N.M., Armstrong A., Bashshur R., Bernard J., Bernstein D., Burdick A., Edison K., Goldyne M., Kovarik C., Krupinski E.A., Kvedar J., Larkey J., Lee-Keltner I., Lipoff J.B., Oh D.H., Pak H., Seraly M.P., Siegel D., Tejasvi T., Whited J. Practice Guidelines for Teledermatology. Telemed J E Health. 2016; 22(12):981-90.
7. Chante K., Robert P.D., Luc E.C. Carsten F., Roderick J.H., Sinéad M.L., Elaine O.N., Alize J.F., Holly E.E., Jonathan I.S., Theo V., Mohsen N. Global Skin Disease Morbidity and Mortality An Update From the Global Burden of Disease Study 2013. JAMA Dermatol. 2017;153(5):406-12.
8. Anonim. Profil Kesehatan Indonesia 2010. Kemenkes RI. Jakarta: Kementrian Kesehatan Republik Indonesia. 2011.
9. Kirsh S, Su GL, Sales A, et al. Access to outpatient specialty care: solutions from an integrated health care system. Am J Med Qual 2015;30:88–90.
10. Fruhauf J., Schwantzer G., Ambros-Rudolph C.M., Weger W., Ahlgrimm-Siess V., Salmhofer W., Hofmann-Wellenhof R. Pilot study on the acceptance of mobile teledermatology for the home monitoring of high-need patients with psoriasis. Australas J Dermatol 2012;53:41–46.
11. Whited J.D., Warshaw E.M., Edison K.E., Kapur K., Thottapurathu L., Raju S., Cook B., Engasser H., Pullen S., Parks P., Sindowski T., Motyka D., Brown R., Moritz T.E., Datta S.K., Chren M., Marty L., Reda D.J. Effect of store and forward teledermatology on quality of life; a randomized trial. JAMA Dermatol 2013;149:584–91.
12. Lamel S., Chambers C.J., Ratnararthorn M., Armstrong A.W. Impact of live interactive teledermatology on diagnosis, disease management, and clinical outcomes. Arch Dermatol 2012;148:61–65.
13. Kaliyada F., Amin T.T., Kuruvilla J., Al Bu Ali W.H. Mobile teledermatology–patient satisfaction, diagnostic and management concordance, and factors affecting patient refusal to participate in Saudi Arabia. J Telemed Telecare 2013;19:315–19.
14. Pathipati A.S., Lee L., Armstrong A.W. Health-care deliverymethods in teledermatology: consultative, triage and direct-care models. J Telemed Telecare. 2011;17:214-16.
15. World Health Organization. Telemedicine: opportunities and developments in member states. Geneva, Switzerland: World Health Organization; 2010. hal. 1-96.
16. Van der Heijden J.P., de Keizer N.F., Bos J.D., Spuls P.I., Witkamp L. Teledermatology applied following patient selection by general practitioners in daily practice improves efficiency and quality of care at lower cost. Br J Dermatol. 2011;165:1058-65.
17. Barbieri JS, Nelson CA, James WD, Margolis D.J., Littman-Quinn R., Kovarik C.L., Rosenbach M. The reliability of teledermatology to triage inpatient dermatology consultations. JAMA Dermatol. 2014;150:1-6.
18. Philp J.C., Cordoro K.M., Frieden I.J. Pediatric teledermatology consultations: relationship between provided data and diagnosis. Pediatr Dermatol. 2013;30:561-67.
19. Gordon J. Dermatologic assessment from a distance: the use of teledermatology in an outpatient chemotherapy infusion center. Clin J Oncol Nurs. 2012; 16:418-20.
20. Afsar F.S. Skin infections in developing countries. Curr Opin Pediatr. 2010;22:459-66.
21. Fruhauf J., Hofmann-Wellenhof R., Kovarik C., Mulyowa G., Alitwala C., Soyer H.P., Kaddu S. Mobile teledermatology in sub-Saharan Africa: a useful tool in supporting health workers in low-resource centres. Acta Derm Venereol. 2013;93:106-7.
22. Colven R., Shim M.H.M., Brock D., Todd G. Dermatological diagnostic acumen improves with use of a simple telemedicine system for underserved areas of South Africa. Telemed J E Health. 2011;17:363-69.
23. Weinberg J., Kaddu S., Gabler G., Kovarik C. The African Teledermatology Project: providing access to dermatologic care and education in sub-Saharan Africa. Pan Afr Med J. 2009;3:1-12.
1.png)
