The potential of telemedicine for dermatological care of pediatric patients in Germany

J Dtsch Dermatol Ges. 2023 Feb;21(2):141-145. doi: 10.1111/ddg.14979. Epub 2023 Feb 11.

Abstract

Background and objectives: Skin diseases are a common reason for consultations in pediatric practice. The present study aims to characterize the dermatological requests of resident pediatric specialists using teledermatology in Germany.

Patients and methods: This analysis of consultation requests, submitted by pediatricians to a designated pediatric dermatologist via a telemedical consultation system (PädExpert) using the store-and-forward technology, was performed between February 2021 and December 2021.

Results: The study analysis included 504 telemedical consultation requests. The mean age of the patients was 6.5 ± 5.0 years with 45.5% of the patients being female. Telemedicine was useful in providing a definite diagnosis in 88.3%. The diagnoses were most frequently assigned to the group of infectious skin diseases (28.8%). Referral to a dermatologist was recommended in 11.5%. The requests were answered on the same day in 63.8% of the cases.

Conclusions: The study data shows the great potential of teledermatology to improve access for children with skin diseases to specialized dermatological care. Another advantage is its function as a triage instrument. Since most cases could be managed by teledermatology only, it is possible to reduce the need for an in-person visit to the dermatologist, thus saving resources.

Keywords: digital health care; pediatric dermatology; teledermatology; telemedicine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child, Preschool
  • Dermatology*
  • Female
  • Germany
  • Humans
  • Infant
  • Male
  • Referral and Consultation
  • Skin Diseases* / diagnosis
  • Telemedicine*