Smartphones in the dermatology department: acceptable to patients?

Soriano, Livia Francine; Jolliffe, Victoria; Sahota, A.

doi:10.1111/bjd.15492

Cited by 11 publications

(27 citation statements)

References 8 publications

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“…Reluctance to engage in digital image sharing was significantly more prevalent among older age groups. This agrees with in-person clinic findings that older adults were more dissatisfied with sending medical images via personal smartphone to their provider [ 16 ] and with prior literature indicating that older adults are overall generally more hesitant to share personal health data [ 17 , 18 ], particularly via mobile devices [ 18 ]. Together, these results are undoubtedly impacted by the digital divide between older and younger age groups; increasing age is associated with significantly lower odds of possessing internet access and engaging in digital health activities [ 19 - 21 ].…”

Section: Discussionsupporting

confidence: 89%

Preferences Towards Electronically Exchanging Digital Images With Healthcare Providers Among US Adults

Wei¹,

Turner²,

Hennessy³

et al. 2021

Cureus

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Background: The rapid expansion of telemedicine, including teledermatology, during the COVID-19 pandemic has required both providers and patients alike to adapt to this digital transition. However, patient attitudes towards electronically shared images with their providers are poorly understood. To address this gap, we assessed digital image sharing preferences and associated determinants in a nationally representative sample.Methods: We analyzed pooled data from the Health Information National Trends Survey 4, Cycle 3 and 4. Digital image sharing preferences were compared by patient characteristics and beliefs via chi-square at a significance level of p<0.05, using sampling and jackknife replicate weights to develop nationally representative sample estimates and account for the complex survey design. P-values were adjusted for multiple comparisons when appropriate.Results: Among 6437 adults, 53.5% reported reluctance in electronically shared images and videos with providers. Greater aversion was observed among adults aged 75 or above (70.9%), retired (67.3%), and those with lower education (65.1%), lower annual income (60.9%), limited English proficiency (63.3%), distrust in health information from doctors (75.4%), and fair or poor health (60.4%).Conclusion: Patient hesitancy towards digital image sharing may present challenges for teledermatology adoption. Greater efforts may be needed to address the age and socioeconomic digital divide, multilingual telemedicine tools, and patient-physician dynamics to ensure vulnerable groups receive needed teledermatologic care.

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Section: Discussionsupporting

confidence: 89%

Preferences Towards Electronically Exchanging Digital Images With Healthcare Providers Among US Adults

Wei¹,

Turner²,

Hennessy³

et al. 2021

Cureus

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“…Overall, the majority of included studies (10/11, 91%) found positive patient attitudes toward medical photographs [1,[3][4][5][7][8][9][10][11][12]. Additionally, many dermatology patients (1197/1511, 79.2%) felt that medical photographs could improve their care, diagnosis, or treatment in the clinical setting [3][4][5][6]8,11].…”

Section: Principal Findingsmentioning

confidence: 99%

Patient Perceptions of Dermatologic Photography: Scoping Review

Kim¹,

Sivesind²

2022

JMIR Dermatol

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Background Medical photography is used extensively in dermatology to record disease progression, measure treatment response, and help teach patients about skin disease; such photos are also commonly utilized in teledermatology, medical education, research, and medical reference websites. Understanding patient perceptions of medical photographs obtained during dermatologic care in the clinic or hospital setting is critical to enable the delivery of high-quality, patient-centered medical care. Objective The aims of this study were to elucidate patient perceptions of skin photos in dermatology and to explore possible next steps in improving the patient experience with medical photography in the hospital or clinic setting. Methods A scoping review of the literature was performed using the PubMed database, with clinic- or hospital-based full-text publications in English spanning the last 10 years considered for inclusion. Results The majority of included studies (10/11, 91%) found positive patient attitudes toward medical photographs. The majority of patients (1197/1511, 79.2%) felt that medical photographs could improve medical care in the clinic setting. Written consent detailing all photo uses, including secondary uses (such as research or teaching), was preferred, apart from in 1 study. Patients preferred or found it acceptable for the photographer of their medical photos to be a physician (1301/1444, 90.1%). Clinic-owned cameras with departmental record storage were the preferred modality. Latinx and African American patients expressed less trust in the utility of medical photographs to improve care, compared with Asian and White patients. The minimal number of available publications on this topic and the inclusion of articles older than 5 years are limitations, since patient perceptions of medical photography may have rapidly changed during this time span, particularly in light of the COVID-19 pandemic and the subsequent increase in teledermatology visits. Conclusions Patients reported positive perceptions of dermatologic photography for improving their medical care. Ethnic disparities in patient perceptions require further exploration to better elucidate nuances and develop interventions to improve the experience of marginalized patients. Building patient trust in nonphysician photographers may enhance clinic efficiency. Although clinic-owned cameras are well-accepted by patients, improved patient education surrounding the safety of electronic medical record phone applications is needed.

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“…The use of mobile phone apps for the management of skin disease is increasing. Patients seem to be reasonably happy with the use of mobile phones for skin imaging . Manahan et al .…”

Section: Reportmentioning

confidence: 99%

Usability testing of MySkinSelfie: a mobile phone application for skin self‐monitoring

et al. 2019

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Teledermatology generally involves doctors taking images of patients; however, patients increasingly want to own or have easy access to their health data. MySkin-Selfie ( http://myskinselfie.com) is a mobile phone application (app) designed to improve the quality, consistency and accessibility of patient-held photos, and was developed to give patients the ability to generate and hold their own skin images to help guide their skin care. This study assessed the usability of this app in a cohort of patients attending a National Health Service Dermatology clinic. Patients were asked to use the app but were not given specific tasks to achieve. Of the 102 patients recruited, 32 downloaded the app and registered an account, 21 took at least one photo (median 5, range 1-103) and 19 completed the usability questionnaire. The majority of questionnaire respondents found the app easy to use but were more neutral on whether it really helped them to manage their skin problem. MySkinSelfie has been shown to be easy to use. Self-monitoring of skin problems may be useful for a subset of patients, and this is likely to depend on diagnosis, age and other patient factors.

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Smartphones in the dermatology department: acceptable to patients?

Cited by 11 publications

References 8 publications

Preferences Towards Electronically Exchanging Digital Images With Healthcare Providers Among US Adults

Preferences Towards Electronically Exchanging Digital Images With Healthcare Providers Among US Adults

Patient Perceptions of Dermatologic Photography: Scoping Review

Usability testing of MySkinSelfie: a mobile phone application for skin self‐monitoring

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