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Not the expert site. This work has limitations: Our control group was made of only one prison and may not be representative of the situation in all prisons. View All Details. A pilot study conducted in the medical unit of Fresnes prison [ 10 ] showed promising results and prompted a larger deployment of telemedicine for prisoners. Isabelle Durand Luxemburg City, Luxembourg. Play Isabelle Durand Radio. If the patient is qualified as dangerous, an additional escort of army officers is required. Prior to the intervention, the skin diseases were managed by the team members in the medical units. Satisfactory request: all replied requests for which the dermatologist considered the quality of the images satisfactory.

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    Isabelle Durand - durand One melanoma was diagnosed during the study. The investment cost was the amount of money paid by the health facilities to the project management and IT Teams and it included the price of a camera and a dermatoscope in every local care unit.

    Curr Dermatol Rep. They were still using tele-expertise at that time.

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    Physicians, both in requesting and expert sites were trained by the project management and IT teams on how to use the tele-expertise platform. Our objective was to evaluate the effectiveness and costs of tele-expertise in dermatology for prisoners.

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    This work has limitations: Our control group was made of only one prison and may not be representative of the situation in all prisons. Isabelle Durand - isabelledurandd.

    Teledermatology: key factors associated with reducing face-to-face dermatology visits. For underserved populations such as prisoners the potential benefits are even higher since the alternative is no access to specialist care [ 9 ].

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    We were unable to assess whether tele-expertise led to an increase of requests which could have been diagnosed and treated without the need for a dermatologist advice.

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    Isabelle Durand - isad We studied the quality of the lesion pictures assessed by the dermatologist as being very satisfactory, satisfactory or unsatisfactory, but did not measure diagnostic accuracy. Curr Dermatol Rep. Below that number, the incremental cost-effectiveness ratio may remain acceptable, depending on the decision-maker threshold. Montreal, QC.

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    For the group with tele-expertise, it corresponded to a satisfactory request for which a face-to-face consultation was not deemed mandatory by the dermatologist or the patient was transported for a face-to-face consultation or for an hospitalization in a dermatology unit.

    Isabelle Durand - isabelledurand6. Results Efficacy and safety requests were initiated for patients Fig 2. Isabelle Durand malicia The total mean cost for one completed treatement plan depends on the number of patients Fig 3.

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