@article{21959,
  keywords = {Dermatology, Humans, India, Telemedicine, Videoconferencing},
  author = {Kanthraj GR},
  title = {Newer insights in teledermatology practice.},
  abstract = {<p>The study and practice of dermatology care using interactive audio, visual, and data communications from a distance is called teledermatology. A teledermatology practice (TP) provides teleconsultation as well tele-education. Initially, dermatologists used videoconference. Convenience, cost-effectiveness and easy application of the practice made "store and forward" to emerge as a basic teledermatology tool. The advent of newer technologies like third generation (3G) and fourth generation (4G) mobile teledermatology (MT) and dermatologists{\textquoteright} interest to adopt tertiary TP to pool expert (second) opinion to address difficult-to-manage cases (DMCs) has resulted in a rapid change in TP. Online discussion groups (ODGs), author-based second opinion teledermatology (AST), or a combination of both are the types of tertiary TP. This article analyzes the feasibility studies and provides latest insight into TP with a revised classification to plan and allocate budget and apply appropriate technology. Using the acronym CAP-HAT, which represents five important factors like case, approach, purpose, health care professionals, and technology, one can frame a TP. Store-and-forward teledermatology (SAFT) is used to address routine cases (spotters). Chronic cases need frequent follow-up care. Leg ulcer and localized vitiligo need MT while psoriasis and leprosy require SAFT. Pigmented skin lesions require MT for triage and combination of teledermoscopy, telepathology, and teledermatology for diagnosis. A self-practising dermatologist and national health care system dermatologist use SAFT for routine cases and a combination of ASTwith an ODG to address a DMC. A TP alone or in combination with face-to-face consultation delivers quality care.</p>},
  year = {2011},
  journal = {Indian journal of dermatology, venereology and leprology},
  volume = {77},
  pages = {276-87},
  month = {2011 May-Jun},
  issn = {0973-3922},
  url = {http://www.ijdvl.com/article.asp?issn=0378-6323;year=2011;volume=77;issue=3;spage=276;epage=287;aulast=Kanthraj},
  doi = {10.4103/0378-6323.79696},
  language = {eng},
}