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A Comparison of Patient and Physician Perceptions and Diagnostic Agreement

Mark H. Lowitt, MD; Irving I. Kessler, MD; C. Lisa Kauffman, MD; Frank J. Hooper, ScD; Eliot Siegel, MD; Joseph W. Burnett, MD

Arch Dermatol. 1998;134:471-476.

Objective  To compare physician and patient impressions and interphysician diagnostic agreement between live teledermatology and in-person examinations.

Design  Paired video and in-person examinations with different dermatologists.

Setting  An urban Veterans Affairs dermatology clinic.

Patients  One hundred thirty-nine patients.

Main Outcome Measures  Satisfaction questionnaires and interphysician diagnostic agreement.

Results  Patient and physician satisfaction was high. Agreement between video and in-person diagnoses was 80%.

Conclusions  Physicians and patients were satisfied with teledermatology examinations. Diagnostic agreement between in-person and video dermatologists was high.

From the Departments of Dermatology (Drs Lowitt, Kauffman, and Burnett), Epidemiology and Preventive Medicine (Dr Kessler), Pathology (Dr Kauffman), Medicine (Dr Hooper), and Radiology (Dr Siegel), University of Maryland School of Medicine, and the Baltimore Veterans Affairs Medical Center (Drs Lowitt, Kauffman, Hooper, Siegel, and Burnett), Baltimore.

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