Improving Access to Care Through the Establishment of a Local, Teledermatology Network

Costello, Collin M.; Cumsky, Helen J.L.; Maly, Connor; Harvey, Jamison A.; Buras, Matthew R.; Pallagi, Peter J.; Gustaveson, Anna L.; Singh, Davinder; Nelson, Sara; Pittelkow, Mark R.; Mangold, Aaron R.

doi:10.1089/tmj.2019.0051

Cited by 19 publications

(13 citation statements)

References 15 publications

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“…In terms of facilitators, relative to in-person care, teledermatology consultations were more efficient and convenient and involved less travel and wait-time for patients [ 3 , 36 , 37 , 39 , 41 , 43 , 44 , 47 , 48 , 53 , 56 – 58 , 60 , 61 ]. Teledermatology also offers better access to care [ 41 , 44 , 51 , 52 , 55 ] at a lower cost [ 52 , 60 ].…”

Section: Resultsmentioning

confidence: 99%

“…Secondly, service reimbursement concerns were reported as barriers to teledermatology implementation for all stakeholders in several studies. Patients, primary care providers, and dermatologists raised concerns and reported challenges about obtaining reimbursement for teledermatology consultations [ 3 , 37 , 43 – 45 , 47 , 54 , 56 , 62 ]. Lastly, primary care providers and dermatologists reported concerns with liability and privacy issues (e.g., data security) associated with teledermatology [ 43 , 45 , 47 , 52 , 54 , 55 ].…”

Section: Resultsmentioning

confidence: 99%

“…Teledermatology also offers better access to care [41,44,51,52,55] at a lower cost [52,60]. Teledermatology technologies were reported to be useful ways to improve both patients' and primary care providers' knowledge and management of skin disorders [3,36,39,41,52,60]. Technology user friendliness was also reported to facilitate teledermatology implementation in some studies [37,41,42,44,56,57,59,60].…”

Section: Domain 1: Intervention Characteristicsmentioning

confidence: 99%

“…Factors within this domain were reported to be a facilitator in 4 studies (13%) and no studies reported barriers within this domain. The implementation of teledermatology was positively influenced by involving individuals with teledermatology experience from outside of the organization [3,63], the presence of supportive opinion leaders [55], careful planning of the implementation procedure and technology [63], and the inclusion of steps to solicit users' feedback and monitoring implementation [63].…”

Section: Domain 5: Processmentioning

confidence: 99%

“…Compared to in-person clinic visits, telemedicine reduces geographic and financial barriers to healthcare access, increases convenience, lowers visit costs, and facilitates case triaging and scheduling [1][2][3][4][5][6][7][8][9]. Telemedicine has become particularly important during the recent COVID-19 pandemic because it facilitates patient monitoring while reducing transmission and exposure risks [10].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation

Dovigi

English

2020

Curr Derm Rep

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Domain 1: Intervention Characteristicsmentioning

confidence: 99%

Section: Domain 5: Processmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation

Dovigi

English

2020

Curr Derm Rep

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Teledermatology: Outcomes for Skin Lesions

Clarke

Mahama

Gracey

et al. 2023

Updates in Clinical Dermatology

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Addressing dermatologic concerns and teledermatology in undomiciled and sheltered populations

Gallagher,

Talasila,

Bistline

et al. 2024

Arch Dermatol Res

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Homelessness in the United States is a significant public health issue, with dermatologic disease being the most prevalent health concern among the undomiciled and sheltered populations. Despite a growing need for dermatologic care, the supply of dermatologists remains insufficient, contributing to disparities in healthcare access for this vulnerable group. This review aims to detail the spectrum of dermatologic conditions experienced by homeless individuals, identify barriers to adequate care, and explore teledermatology as a potential solution to bridge these gaps. A comprehensive literature review was conducted, analyzing studies and reports on dermatologic issues prevalent among the homeless population and the efficacy of teledermatology in addressing these concerns. Homeless individuals face a wide range of dermatologic problems, from common conditions like acne and eczema to severe issues such as cellulitis, leg ulcers, and skin cancer. Drug abuse, domestic and sexual abuse, and parasitic infestations further complicate the dermatologic health of this population. Teledermatology has emerged as a promising tool to enhance access to dermatologic care, showing significant improvements in clinical outcomes and accessibility, especially in underserved urban settings. However, challenges remain, such as the digital divide affecting the elderly and low-income populations, which could potentially exacerbate disparities. Addressing the dermatologic needs of the homeless population requires a multifaceted approach. Teledermatology offers a viable solution to improve care access and efficiency, but additional efforts are necessary to ensure inclusivity and avoid further marginalization. Volunteer-driven multidisciplinary clinics also play a crucial role in providing care, though they face challenges in continuity and resource availability. Future strategies should focus on integrating teledermatology with other supportive services to create a comprehensive care model for this underserved population.

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Improving Access to Care Through the Establishment of a Local, Teledermatology Network

Cited by 19 publications

References 15 publications

A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation

A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation

Teledermatology: Outcomes for Skin Lesions

Addressing dermatologic concerns and teledermatology in undomiciled and sheltered populations

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