HIV-positive patients in Botswana state that mobile teledermatology is an acceptable method for receiving dermatology care

Azfar, Rahat S.; Weinberg, Jennifer L.; Cavrić, Gordana; Lee-Keltner, Ivy; Bilker, Warren B.; Gelfand, Joel M.; Kovarik, Carrie L.

doi:10.1258/jtt.2011.110115

Cited by 43 publications

(64 citation statements)

References 10 publications

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“…[7,53] Patient-assisted teledermatology practice using a mobile teledermatology tool was found to be an acceptable method by HIV positive patients. [53] Moreover, patient-assisted teledermatology practice breaks the barriers associated with dermatology care such as cost and distance. Further, various clinical reports have demonstrated that treatment satisfaction and quality of care was high in mobile teledermatology consultations with a face-to-face interaction.…”

Section: Surveysmentioning

confidence: 99%

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Patient-assisted teledermatology practice: What is it? When, where, and how it is applied?

Kanthraj¹

2015

Indian J Dermatol Venereol Leprol

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Recent teledermatology practice has been focused on different models made possible by robust advances in information technology leading to consistent interaction between the patient and health care professionals. Patient-assisted teledermatology practice also called patient-enabled teledermatology or home based teledermatology is one such novel model. There is a lack of scientific literature and substantive reviews on patient-assisted teledermatology practice. The present article reviews several studies and surveys on patient-assisted teledermatology practice and outlines its advantages and barriers to clinical utility and analyses the potentiality of this concept. Incorporating patient-assisted teledermatology practice as a novel model in the revised classification of teledermatology practice is proposed. In patient-assisted teledermatology, the patient can upload his/her clinical images as a first contact with the dermatologist or an initial face-to-face examination can be followed by teledermatology consultations. The latter method is well suited to chronic diseases such as psoriasis, vitiligo, and leg ulcers, which may need frequent follow-up entailing significant costs and time, particularly in the elderly. Teledermatology may also be used by the treating dermatologist to seek expert opinion for difficult cases. Studies have demonstrated the importance and usability of the concept of patient-assisted teledermatology practice. Various teledermatology care models are available and the appropriate model should be chosen depending on whether the clinical situation is that of easily diagnosed cases ("spotters"), chronic cases or doubtful cases and difficult-to-manage cases.

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Section: Surveysmentioning

confidence: 99%

“…Patients were willing to undertake mobile teledermatology consultations requiring clinical images of chest, legs, genitals, and face. [53] Besides, there exists a significant difference for patient willingness to mobile consultation involving lesions on the face versus compared with their willingness when other body sites were involved.…”

Section: Surveysmentioning

confidence: 99%

Patient-assisted teledermatology practice: What is it? When, where, and how it is applied?

Kanthraj¹

2015

Indian J Dermatol Venereol Leprol

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“…Teledermatology has been validated in both infectious conditions such as HIV-associated skin conditions and chronic conditions, such as atopic dermatitis (37,40). A cross-sectional survey of HIV positive patients in Botswana found that 91% of patients felt that a mobile teledermatology visit would provide the same level of care as a face-to-face visit (41). The validity and acceptance of teledermatology therefore make it an obvious choice for expanding dermatology services.…”

Section: Improving Quality Of Care Through Innovationmentioning

confidence: 99%

Global Burden of Skin Disease: Inequities and Innovations

et al. 2017

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Purpose of Review We review the current understanding of the burden of dermatological disease through the lens of the Global Burden of Disease project, evaluate the impact of skin disease on quality of life in a global context, explore socioeconomic implications, and finally summarize interventions towards improving quality of dermatologic care in resource-poor settings. Recent Findings The Global Burden of Disease project has shown that skin diseases continue to be the 4th leading cause of nonfatal disease burden world-wide. However, research efforts and funding do not match with the relative disability of skin diseases. International and national efforts, such as the WHO List of Essential Medicines, are critical towards reducing the socioeconomic burden of skin diseases and increasing access to care. Recent innovations such as teledermatology, point-of-care diagnostic tools, and task-shifting help to provide dermatological care to underserved regions in a cost-effective manner. Summary Skin diseases cause significant non-fatal disability worldwide, especially in resource-poor regions. Greater impetus to study the burden of skin disease in low resource settings and policy efforts towards delivering high quality care are essential in improving the burden of skin diseases.

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“…Clinical services (telemedicine) have also taken place within Botswana. Most studies (18) have been performed by a single research group, the BUP Partnership [13,18,20,21,[26][27][28][33][34][35][36][37][38][39][40][41][42][43]. The available evidence suggests this partnership is no longer functional.…”

Section: Literature Findingsmentioning

confidence: 99%

The Need for a Telemedicine Strategy for Botswana? A Scoping Review and Situational Assessment.

Ncube

Mars

Scott

2020

Preprint

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Background Health, healthcare, and healthcare system problems within the developing world are well recognised. eHealth, the use of Information and Communications Technologies (ICT) for health, is frequently suggested as one means by which to ameliorate such problems. However, to identify and implement the most appropriate ehealth solutions requires development of a thoughtful and broadly evidence-informed strategy. Most published strategies focus on health informatics solutions, neglecting the potential for other aspects of ehealth (telehealth, telemedicine, elearning, and ecommerce). This study examined the setting in Botswana to determine the need for a telemedicinespecific strategy.Methods A situational assessment of ehealth activities in Botswana was performed through a scoping review of the scientific and grey literature using specified search terms, an interview with the project manager of the major mhealth stakeholder, and benchtop review of policies and other relevant Government documents including the country's current draft eHealth Strategy.Results Thirty-nine papers were reviewed. Various ehealth technologies have been applied within Botswana. These include Skype for educational activities, instant messaging (WhatsApp for telepathology; SMS for transmission of laboratory test results, patient appointment reminders, and invoicing and bill payment), and robotics for dermatopathology. In addition health informatics technologies have been used for surveillance, monitoring, and access to information by healthcare workers. The number of distinct health information systems has been reduced from 37 to 12, and 9 discrete EMRs remain active within the public health institutions. Many infrastructural issues were identified. A critical assessment of the current draft ehealth strategy document for Botswana showed limitations. Many telemedicine services have been introduced over the years (addressing cervical cancer screening, teledermatology, teleradiology, oral medicine and eye screening), but only one project was confirmed to be active and being scaled up with the intervention of the Government.Conclusions Botswana's draft 'ehealth' strategy will not, in and of itself, nurture innovative growth in the application of telemedicine initiatives, which currently are fragmented and stalled. This lack of focus is preventing telemedicine's recognised potential from being leveraged. A specific Telemedicine Strategy, aligned with and supportive of the pre-existing ehealth strategy, 3 would provide the necessary focus, stimulus, and guidance. BackgroundHealth and healthcare problems in developing countries abound, and include disease burden, poor doctor to patient ratios, lack of access to health specialists, and shortages of drugs and medicines.Although ICT4D (ICT for Development) is advancing and presenting opportunities to address such health problems, most developing countries find it challenging to use ICT for health activities, termed eHealth.Despite multiple definitions and misuse of terms, and although some people u...

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HIV-positive patients in Botswana state that mobile teledermatology is an acceptable method for receiving dermatology care

Cited by 43 publications

References 10 publications

Patient-assisted teledermatology practice: What is it? When, where, and how it is applied?

Patient-assisted teledermatology practice: What is it? When, where, and how it is applied?

Global Burden of Skin Disease: Inequities and Innovations

The Need for a Telemedicine Strategy for Botswana? A Scoping Review and Situational Assessment.

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