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GD Society for Dermopharmacy |
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Dermopharmacy News Computer-aided Tele- and Dermatoscopy High Level of Safety in Diagnosis of melanocyte Skin Changes The increase in melanoma diseases has entailed a series of educational work which has reached the public to a great extent by reports in the media. Dr. med. Winfried Klövekorn, Gilching reported within the scope of a professional advanced training in Regensburg in November 2000 that as a consequence only in his dermatological practice 17000 patients have consulted him for a control of their naevi in the last five years. One third of the patients examined, showed dysplastic naevi and at 292 (1,6 percent) a melanoma had been diagnosed. In order to back up the diagnosis, the digital top-light microscopy - an innovative procedure - had been applied which is also interesting from an economic point of view for the dermatologic practice. In view of the increase of patients and the necessity of safe diagnostical methods, the optical company Rodenstock has successfully searched for more efficient possibilities of diagnosis and documentation techniques in cooperation with the university of Regensburg and the Institut für Informatik der Technischen Universität Munich (Institute for Informatics at the Technical University). They consist on the one hand in a standardization of the photograph techniques by incorporating the top-light microscopy and on the other hand in an improvement of the evaluation possibility and comparability of results. The combination of digital storing of the findings and a internal consultation or via tele-medicine are advantages in this context which have led to a rise of diagnostic safety by 20 to approximately 90 percent. High-technology diagnostics Mark of quality
Economically interesting Investment Services which can be offered beyond the EBM on the basis of private liquidation are an existantial pillar for many practices. They are possible for services not listed in the EBM catalogue as well as for IGEL services. Considering the economic aspect of the liquidation according to GOÄ-paragraph 612a (see box) the computer-aided tele and dermatoscopy of the melanoma diagnostics is an important sales factor for the dermatologic practice. In view of the high and steadily increasing incidence of the melanoma of at present 7:100.000 and the frequent examinations at legally ensured leaving out of consideration from the EBM of the GKV, a diagnostically useful and economically interesting service can thus be offered. The rising demand for such examinations will in all likelihood lead at correspondingly equipped practices to a patient-selection and -relationship. The introduction of the method does not require additional personnel, ensures the easy and cost-saving archivation of findings and furthermore a short amortization time can be expected.(ghw)
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