JMIR Publications

ABSTRACT

Rare skin diseases require complex multidisciplinary care, and the potential of telemedicine to optimize their management remains insufficiently explored. In this monocentric, prospective randomized study, patients were assigned to standard care or telemedicine-enhanced care, with subgroup analysis based on referring physician participation. Telemedicine did not reduce hospital visits overall, likely due to limited physician engagement, but complete participation was associated with significant changes in care organization, including more direct hospitalizations and increased coordination workload. These findings suggest that while telemedicine alone may not decrease visit frequency, it supports a more structured care model, highlighting the importance of physician engagement and the potential added value of tele-expertise networks and artificial intelligence.