Online portal‐based system for improving patient‐generated photographs for teledermatology

Su, Mack Y.; Trefrey, Brie L.; Smith, Gideon P.; Das, Smita

doi:10.1111/dth.14453

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…In particular, artificial intelligence (AI) technologies promise to yield seminal solutions. In Boston, Su et al [27] developed a feedback algorithm that outputs 'smart phrases' that prompt the patient to resubmit new images if the original images were of inadequate quality. This algorithm promises to increase the efficiency of TD by eliminating images that would not have yielded a diagnosis.…”

Section: Challenges and Solutionsmentioning

confidence: 99%

Teledermatology During COVID-19: An Updated Review

2021

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The coronavirus disease 2019 (COVID-19) pandemic has fundamentally transformed the landscape of providing dermatologic care. In an age of lockdowns and social distancing, teledermatology (TD) has emerged as a powerful tool to deliver remote care. Here, we review literature on TD use during the pandemic to evaluate the positives and negatives of TD implementation. We especially consider the reception of TD in underserved communities and the developing world as well as the ethico-legal challenges wrought by the burgeoning utilization of this new paradigm of care. The potential of TD to occupy a more prominent role in dermatologic care in a post-COVID-19 world is also discussed.

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Section: Challenges and Solutionsmentioning

confidence: 99%

Teledermatology During COVID-19: An Updated Review

2021

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“…Furthermore, a study in the United States showed promising results with an automated machine learning algorithm that evaluates dermatology image quality and provides, if necessary, specific recommendations and guidance to patients about how to improve the quality of their images [ 48 ]. Su et al [ 49 ] launched a feedback algorithm with “smart phrases” that induces patients to retake images if the latest images were of insufficient quality. Such algorithms might also improve the quality of the submitted images in the Dutch digital dermatology platform over time.…”

Section: Discussionmentioning

confidence: 99%

General Practitioners’ Perspectives About Remote Dermatology Care During the COVID-19 Pandemic in the Netherlands: Questionnaire-Based Study

Tensen¹,

Jaspers²,

Peute³

2023

JMIR Dermatol

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Background The COVID-19 pandemic affected the delivery of primary care and stimulated the use of digital health solutions such as remote digital dermatology care. In the Netherlands, remote store-and-forward dermatology care was already integrated into Dutch general practice before the COVID-19 pandemic. However, it is unclear how general practitioners (GPs) experienced this existing digital dermatology care during the pandemic period. Objective We investigated GPs’ perspectives about facilitators and barriers related to store-and-forward digital dermatology care during the COVID-19 pandemic in the Netherlands, using a sociotechnical approach. Methods In December 2021, a web-based questionnaire was distributed via email to approximately 3257 GPs who could perform a digital dermatology consultation and who had started a digital consultation (not necessarily dermatology) in the previous 2 years. The questionnaire consisted of general background questions, questions from a previously validated telemedicine service user satisfaction questionnaire, and newly added questions related to the pandemic and use of the digital dermatology service in general practice. The open-ended and free-text responses were analyzed for facilitators and barriers using content analysis, guided by an 8-dimensional sociotechnical model. Results In total, 71 GPs completed the entire questionnaire, and 66 (93%) questionnaires were included in the data analysis. During the questionnaire distribution period, another national lockdown, social distancing, and stay-at-home mandates were announced; thus, GPs may have had increased workload and limited time to complete the questionnaire. Of the 66 responding GPs, 36 (55%) were female, 25 (38%) were aged 35-44 years, 33 (50%) were weekly platform users, 34 (52%) were working with the telemedicine organization for >5 years, 42 (64%) reported that they used the store-and-forward platform as often during as before the pandemic, 61 (92%) would use the platform again, 53 (80%) would recommend the platform to a colleague, and 10 (15%) used digital dermatology home consultation. Although GPs were generally satisfied with the digital dermatology service, platform, and telemedicine organization, they also experienced crucial barriers to the use of the service during the pandemic. These barriers were GPs’ and patients’ limited digital photography skills, costs and the lack of appropriate equipment, human-computer interface and interoperability issues on the telemedicine platform, and different use procedures of the digital dermatology service. Conclusions Although remote dermatology care was already integrated into Dutch GP practice before the pandemic, which may have facilitated the positive responses of GPs about the use of the service, barriers impeded the full potential of its use during the pandemic. Training is needed to improve the use of equipment and quality of (dermoscopy) images taken by GPs and to inform GPs in which circumstances they can or cannot use digital dermatology. Furthermore, the dermatology platform should be improved to also guide patients in taking photographs with sufficient quality.

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