An evaluation of a store-and-forward electronic referral system was carried
out in Cornwall to gauge its effectiveness in prioritizing dermatological
patients needing secondary care. A dermatologist classified patients to be
seen according to need based on information on the electronic referral form
along with an image of the skin condition. Initial findings indicated that
patients were more accurately triaged in at least 50% of cases and that 25
% of patients did not require an outpatient dermatological appointment. Der
matologists rated image quality at 7.5 on a 10-point scale. This low-cost s
ystem has potential for more appropriate clinical management of dermatologi
cal patients in both primary and secondary care.