53 ELEVEN YEARS OF TELEDERMOSCOPY IN THE NETHERLANDS Figure 3.1: Teledermoscopy (TDsc) flow with evaluation questions (Q) posed to general practitioners (GPs) and teledermatologists (TDs) during the teledermoscopy consultation process. Reponses used for assessing teledermoscopy quality and performance outcomes are numbered. Notes: 1 = Quality outcome 1; second opinions; 2 = Quality outcome 2; extra teledermoscopy referrals; 3 = Quality outcome 3; GP following teledermatologist’s advice on patient referral; 4 = Performance outcome 4; GP valuation of teledermoscopy; 5 = Performance outcome 5; Teledermoscopy referral percentage for which the GP indicated that patients would have been referred if teledermoscopy was not available; 6 = Performance outcome 6; Overall referral in teledermoscopy; Performance outcome 7 (timestamps) is not indicated in this figure. 3
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