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ANAMT technical guideline: occupational telediagnosis.
Francisco Cortes Fernandes1, Rosylane Nascimento das Mercês Rocha1, Mírian Pérpetua Palha Dias Parente1
1Núcleo Diretrizes, Associação Nacional de Medicina do Trabalho, São Paulo, SP, Brazil.
Telemedicine occupational examinations (telediagnosis) lack evidence of accuracy compared to in-person exams. Currently, there is no scientific support to recommend occupational telediagnosis for workplace health assessments.
Area of Science:
- Occupational Medicine
- Health Services Research
- Telemedicine
Background:
- Occupational physicians assess work-related health and illness.
- Occupational medical examinations, workplace studies, and epidemiological analyses are key tools.
- Telemedicine is increasingly explored for various medical services.
Purpose of the Study:
- To determine if telemedicine occupational examinations (telediagnosis) are accurate compared to in-person occupational examinations.
- To evaluate the existing scientific evidence for occupational telediagnosis.
Main Methods:
- Systematic literature search across MEDLINE, EMBASE, and Google Scholar databases.
- Hand search for relevant articles.
- Studies were selected by four independent reviewers based on eligibility criteria.
Main Results:
- Initial search yielded 12,654 articles; screening reduced this to 284.
- None of the screened studies met the eligibility criteria for inclusion.
- No studies were found comparing telemedicine occupational examination with in-person examination.
Conclusions:
- There is currently no evidence to support the accuracy or efficacy of telemedicine occupational examinations.
- The use of occupational telediagnosis cannot be recommended due to a lack of supporting scientific evidence.
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