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Direct to Consumer Mobile Teledermatology Apps: An Exploratory Study.

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Direct to consumer mobile teledermatology apps offer convenience but vary in quality. Some apps risk medical errors due to incomplete patient history taking, highlighting a need for regulation and guidelines.

Keywords:
dermatologym-healthtechnologyteledermatologytelemedicine

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Area of Science:

  • Dermatology
  • Digital Health
  • Health Informatics

Background:

  • Direct to consumer mobile teledermatology apps have proliferated since 2012.
  • These apps shift data collection responsibilities from healthcare professionals to patients.

Purpose of the Study:

  • To evaluate the user-friendliness, diagnostic accuracy, and service quality of available mobile teledermatology applications.

Main Methods:

  • A review of all mobile teledermatology apps in the Apple App Store was conducted.
  • Five popular apps were tested using a standardized patient case, compared against in-person dermatologist examination.

Main Results:

  • Significant variation exists among apps in diagnostic scope, data collection, services offered, results provided, geographic coverage, and cost.
  • Most apps provided largely concordant results, but diagnostic accuracy was compromised in the app with the least thorough history-taking.
  • Key medical history elements, such as current medications and allergies, were frequently omitted by the apps.

Conclusions:

  • The variability in mobile teledermatology app design poses risks of medical errors and fragmented patient care.
  • Current American Telemedicine Association guidelines should be updated to encompass direct to consumer apps.
  • Regulation, certification, or clear guidelines are recommended to ensure safe development and use of these applications.