Practice Gaps—The Barriers and the Promise of Teledermatology

Edison, Karen E.; Dyer, John A.; Whited, John D.; Mutrux, Rachel

doi:10.1001/archdermatol.2012.504

Cited by 12 publications

(4 citation statements)

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“…The developers of the new teledermatology model found that facilitators (organizational infrastructure, training, and support) significantly influence the intention to use teledermatology ( 36 ). Training should include how teledermatology provides access to timely dermatologic care, how physicians should take high-quality images and how to send images securely ( 38 ). Especially the organizational context of the teledermatology implementation is very important ( 36 ), do individuals believe that this organizational infrastructure provides support to use the system?…”

Section: Methodsmentioning

confidence: 99%

Two Decades of Teledermatology: Current Status and Integration in National Healthcare Systems

et al. 2016

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Teledermatology, originating in 1995, has been one of the first telemedicine services to see the light of day. Two decades of teledermatology research is summarized in this review. A literature search was conducted in PubMed. Search terms included “teledermatology,” “teledermoscopy,” “tele wound care,” “telederm*,” “(dermatology OR dermoscopy OR wound care OR skin) AND (telemedicine OR ehealth or mhealth OR telecare OR teledermatology OR teledermoscopy).” Inclusion criteria were (i) Dutch or English written papers and (ii) publication year from 2011 to present or (iii) (systematic) reviews with publication year before 2011. One hundred fourteen publications and 14 (systematic) reviews were included for full text reading. Focus of this review is on the following outcomes: (i) actors (primary, secondary, tertiary), (ii) purposes (consultation, triage, follow-up, education) and subspecialties (tele-wound care, burn care, teledermoscopy (teledermatoscopy), teledermatopathology, and mobile teledermatology), (iii) delivery modalities and technologies (store and forward, real-time interactive, and hybrid modalities using web-based systems, email, mobile phones, tablets, or videoconferencing equipment), (iv) business models, (v) integration of teledermatology into national healthcare systems, (vi) preconditions and requirements for implementation (security, ethical issues, responsibility, reimbursement, user satisfaction, technique, and technology standards), and (vii) added value.To conclude, teledermatology is an efficient and effective healthcare service compared to in-person care. Teledermatology reduces patients’ travel time and waiting time, avoids (unnecessary) dermatologic visits, and improves access of care to underserved patients.

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Section: Methodsmentioning

confidence: 99%

Two Decades of Teledermatology: Current Status and Integration in National Healthcare Systems

et al. 2016

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“…Teledermatology has been shown to increase patient satisfaction by providing faster access to consultation as opposed to in-person visits for specific populations. While teledermatology presents opportunities for dermatological education with primary care physicians, continued communication and follow up with referring physicians as well as the incorporation of training in dermatology residency programs are significant aspects for future success in the field ( Edison et al, 2012 ). With the rapid advancements in technology, developing a practical and affordable platform for teledermatology could be an essential component for efficient and cost-effective care in the future.…”

Section: Discussionmentioning

confidence: 99%

Teledermatology: An updated overview of clinical applications and reimbursement policies

Campagna

Naka

2017

International Journal of Women's Dermatology

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Telemedicine is an emerging field in healthcare that provides services from different medical specialties to patients all around the world. One of the specialties in telemedicine, teledermatology, has grown exponentially as a cost-effective way to implement dermatological healthcare to underserved areas and populations. This article reviews the literature that pertains to the cost-effectiveness, reliability, public access, patient satisfaction, and reimbursement policies of teledermatology. Teledermatology was found to be cost-effective and reliable in reducing in-person visits and time away from work, and allows for the faster delivery of care. However, reimbursement policies for teledermatology services are rather new and vary significantly from state to state. As public interest in and access to teledermatology continue to grow, the future of teledermatology depends on the development of new technology as well as quality improvement strategies and the evolution of sustainable reimbursement policies.

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“…For a subset of patients, teledermatology may serve as a convenient and accepted method of delivering care [23]. Patients seem to be satisfied by the care they receive with teledermatology [14,17], and lack of experience or comfort with the modality does not seem to present a significant concern for diagnosing physicians [24]. Nevertheless, some concerns remain.…”

Section: Discussionmentioning

confidence: 99%

Overcalling a teledermatology selfie: a new twist in a growing field

Hogan¹,

Cullan²,

Patel³

et al. 2015

Dermatology Online Journal

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Teledermatology via patient-generated digital images or "selfies" has been increasing since the advent of portable devices capable of high resolution image capture. During these early days, doctors and patients are learning about uses and limitations. We describe a case in which a patient's selfie led three attending physicians to suspect an iatrogenic hematoma requiring urgent assessment. There was no hematoma at follow up, simply dark and smooth adherent crust, which was gently removed to reveal a well-healing wound. This case introduces a previously undescribed teledermatology-related issue, that of "overcalling" a selfie. An image supplied by a patient misleadingly appeared to show a serious complication requiring urgent treatment.

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Practice Gaps—The Barriers and the Promise of Teledermatology

Abstract: for his valuable insights and guidance regarding the design of this project and Amber Harrison for her administrative support of this project.

Cited by 12 publications

References 1 publication

Two Decades of Teledermatology: Current Status and Integration in National Healthcare Systems

Two Decades of Teledermatology: Current Status and Integration in National Healthcare Systems

Teledermatology: An updated overview of clinical applications and reimbursement policies

Overcalling a teledermatology selfie: a new twist in a growing field

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