{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T04:51:33Z","timestamp":1789620693114,"version":"build-2803163510"},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,3,5]],"date-time":"2015-03-05T00:00:00Z","timestamp":1425513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To compare the use of live interactive teledermatology versus conventional face\u2010to\u2010face consultation in long\u2010term, institutionalised psychiatric patients with chronic skin diseases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All institutionalised psychiatric patients at the <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nstitute of <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ental <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth with follow\u2010up appointments at the <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ational <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>kin <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>entre were assessed for eligibility and invited to participate. Recruited patients were first seen by a dermatologist via videoconferencing, and then by another dermatologist in person, within 1 week. Clinical outcome measures were then assessed by a third independent dermatologist. The following outcome measures were assessed for each paired patient visit: inter\u2010physician clinical assessment, diagnosis, management plan, adverse events and total patient turnaround time (<jats:styled-content style=\"fixed-case\">PTAT<\/jats:styled-content>) for each consultation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were a total of 13 patients (mean age, 64.6 years; range 44\u201380) with 27 patient visits. All were male patients with chronic schizophrenia. The predominant skin condition was chronic eczema and its variants (62%), followed by cutaneous amyloidosis (23%) and psoriasis (15%). The level of complete and partial agreement between the teledermatology and face\u2010to\u2010face consultation was 100% for history\u2010taking and physical examination and 96% for the investigations, diagnosis, management plan and the treatment prescribed. The <jats:styled-content style=\"fixed-case\">PTAT<\/jats:styled-content> for teledermatology was 23\u2009min, compared to 240\u2009min for face\u2010to\u2010face consultations. No adverse events were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Teledermatology was as effective as face\u2010to\u2010face consultation and reduced the <jats:styled-content style=\"fixed-case\">PTAT<\/jats:styled-content> by 90%, resulting in increased patient convenience, operational efficiency and reduced manpower need. Our study supports the safe and cost\u2010effective use of teledermatology for the follow\u2010up of chronic skin conditions in psychiatric patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajd.12297","type":"journal-article","created":{"date-parts":[[2015,3,5]],"date-time":"2015-03-05T11:25:44Z","timestamp":1425554744000},"page":"170-174","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["A prospective study on the use of teledermatology in psychiatric patients with chronic skin diseases"],"prefix":"10.1111","volume":"56","author":[{"given":"Amelie C","family":"Seghers","sequence":"first","affiliation":[{"name":"National Skin Centre  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kok Han","family":"Seng","sequence":"additional","affiliation":[{"name":"Institute of Mental Health  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin TW","family":"Chio","sequence":"additional","affiliation":[{"name":"National Skin Centre  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emileen","family":"Chia","sequence":"additional","affiliation":[{"name":"Institute of Mental Health  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"See Ket","family":"Ng","sequence":"additional","affiliation":[{"name":"National Skin Centre  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark BY","family":"Tang","sequence":"additional","affiliation":[{"name":"National Skin Centre  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,3,5]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"1f","article-title":"Telepsychiatry in the 21st century: transforming healthcare with technology","volume":"10","author":"Deslich S","year":"2013","journal-title":"Perspect Health Inf. 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