Mobile teledermatology for a prompter and more efficient dermatological care in rural Mongolia

Byamba, Khandsuren; Syed-Abdul, Shabbir; García‐Romero, María Teresa; Huang, Chih-Wei; Nergyi, S.; Nyamdorj, A.; Nguyễn, Phụng Anh; Iqbal, Usman; Paik, Kenneth E.; Celi, Leo Anthony; Nikore, Vipan; Somai, Melek; Jian, Wen-Shan; Li, Y.-C.

doi:10.1111/bjd.13607

Cited by 31 publications

(24 citation statements)

References 11 publications

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“…46 A randomized cluster trial evaluated this technique using a mobile phone platform in rural Mongolian clinics and it has obtained promising results: a reduction of 19,892 km in travel distance and 269 h in travel time was noted, along with a $76.36 per-patient decrease in expenses and a 75% reduction in referrals to tertiary centers. 47 Comparable results were obtained in studies that were conducted within a nonrural context. It has reported waiting periods of 2 to 50 days with the teledermatology system, compared to 88 to 137 days with the conventional letter referral.…”

Section: Waiting Period Duration Of Consultations and Travel Reductionmentioning

confidence: 87%

Use of Teledermatology to Improve Dermatological Access in Rural Areas

Coustasse

Sarkar

Abodunde

et al. 2019

Telemedicine and e-Health

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Introduction: Dermatological access in rural regions has been impacted due to an acute, global dermatologist shortage coupled with a striking disparity in dermatologist density between urban and rural areas. As a result, the dermatological arena has been under notable pressure to amplify access. Teledermatology has entailed the use of technology to provide dermatological services to individuals located at a remote distance. The purpose of this literature review was to examine the effect of utilization of teledermatology to determine enhancement of dermatological access to residents of rural areas. Materials and Methods: This review followed a systematic approach and utilized five electronic databases to obtain peerreviewed journal articles. A PRISMA approach was used and a total of 86 references were employed. Results: Teledermatology programs have been able to complement conventional dermatological care to enhance dermatological access to rural areas that have suffered from a shortage of dermatologists and could aid in supplementing traditional care as well. Within rural settings, the results of three studies in this review indicated the importance of improved quality for diagnostic precision, whereas one study reported that clinical images might not provide sufficient insight to deliver clear-cut diagnoses. In addition, enhancements in diagnostic precision could be obtained by upgrades in phone cameras to capture images. Finally, to most of the existing literature, in using teledermatology, physician satisfaction has been stronger than patient satisfaction. Conclusions: Teledermatology has had a beneficial impact in improving dermatological access to rural areas. The success of this technology is contingent upon the commitment and willingness of the dermatologist in utilizing it.

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Section: Waiting Period Duration Of Consultations and Travel Reductionmentioning

confidence: 87%

Use of Teledermatology to Improve Dermatological Access in Rural Areas

Coustasse

Sarkar

Abodunde

et al. 2019

Telemedicine and e-Health

View full text Add to dashboard Cite

show abstract

“…Another report found waiting times for teledermatology referrals to be 2-50 days compared to 88-137 in conventional face to face examinations (35). One study reported a $76.36 per patient decrease in expenses among in Mongolian patients using a mobile phone teledermatology platform (36).…”

Section: Discussionmentioning

confidence: 99%

Egyptian dermatologists attitude toward telemedicine amidst the COVID19 pandemic: a cross-sectional study

Elsaie

Shehata

Hanafi

et al. 2020

Journal of Dermatological Treatment

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Background: Telemedicine involves distant exchange of medical information between health providers and patients via a telecommunication device with/without the aid of an audiovisual interactive assistance. The current COVID 19 pandemic impact on health services mandated an utmost readiness to implement telemedicine which in part is dependent on health care providers willingness to adopt such platforms. Aim: The aim of this cross sectional study was to assess knowledge and attitude toward telemedicine Egyptian dermatologists amidst the COVID 19 pandemic. Patients and methods: A cross sectional study was designed and data were collected using structured self-administered online questionnaires. Results: Dermatologists had a good knowledge about telemedicine (mean 4.17 ± 1.63; p < .05). Of those completing the questionnaire, 193 (68.9%) were familiar with the term 'telemedicine' and 164 (58.6%) were familiar with tools like teleconferencing. The majority of responding dermatologists 227 (81.1%) were confident that the COVID 19 pandemic is a good opportunity to start applying telemedicine protocols however the majority 234 (83.6%) preferred using it on trial basis at first before full implementation. Conclusion: In conclusion an overall good attitude toward telemedicine was reported with a mean of 3.39 (p < .05). Further large scale studies are required to verify such findings.

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“…While not typically considered a patient-centric outcome, cost is an important measure of teledermatology's effectiveness. When compared with in-person visits, store-and-forward teledermatology has largely been found to reduce costs for healthcare organizations, individuals, and society, regardless if the consult originates from a provider [56,57] or a patient [45]. The definition of cost used in these analyses varies, defined, for example, as staff and technology costs [57], costs of the visit [58], pharmacy costs [45], or more thoroughly as visit, pharmacy, travel, hospitalization, and loss of productivity costs [59•].…”

Section: Effectivenessmentioning

confidence: 99%

Implementation of Teledermatology: Theory and Practice

et al. 2019

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Purpose of Review Multiple factors influence the success and failure of teledermatology programs. We evaluate the current teledermatology literature using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework developed for implementation research. We introduce this framework to encourage a thorough examination of teledermatology's implementation including its sustainability. In this way, programs can better realize teledermatology's promise for enhancing patients' access to expert dermatologic care in real-world healthcare settings. Recent Findings While teledermatology continues to expand throughout the world, barriers continue to exist. Many evaluations of teledermatology focus on the effectiveness of the programs, without examining other factors that underlie success. The use of implementation science enables researchers to better assess different factors influencing a program's success or failure. Summary Implementation science offers theories, frameworks, and methodologies to study and improve teledermatology's impact.

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Mobile teledermatology for a prompter and more efficient dermatological care in rural Mongolia

Cited by 31 publications

References 11 publications

Use of Teledermatology to Improve Dermatological Access in Rural Areas

Use of Teledermatology to Improve Dermatological Access in Rural Areas

Egyptian dermatologists attitude toward telemedicine amidst the COVID19 pandemic: a cross-sectional study

Implementation of Teledermatology: Theory and Practice

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