Teledermatology by videoconference: Experience of a pilot project

Mars, Maurice; Dlova, Ncoza C.

doi:10.1080/20786204.2008.10873725

Cited by 17 publications

(9 citation statements)

References 30 publications

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“…Nine studies on patient satisfaction and six studies on provider satisfaction with LI TD were reviewed (Tables 3 and 4). 36,[40][41][42][43][44][45][46][47] Two of these studies queried non-physician providers. 36,42 Five studies assessed both patient and provider satisfaction with LI TD.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of satisfaction with teledermatology

et al. 2017

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Background The two most commonly used modalities of teledermatology (TD) are store-and-forward (SF) and live-interactive (LI) TD. Existing studies have not compared these tools with respect to patient and provider satisfaction. Objective To systematically review all published studies of patient and provider satisfaction with SF and LI TD. Methods PubMed, EMBASE, and Cochrane databases were systematically searched for studies on provider or patient satisfaction with SF or LI TD between January 2000 and June 2016. Results Forty eligible studies were identified: 32 with SF TD, 10 with LI TD, and 2 evaluating both. With SF TD, 96% of studies assessing patient satisfaction and 82% of studies assessing provider satisfaction demonstrated satisfaction ( n = 24 and 17, respectively). With LI TD, 89% of studies assessing patient satisfaction and all studies assessing provider satisfaction revealed satisfaction (n = 9 and 6, respectively). Conclusion Patients and providers are satisfied with both SF and LI TD. Studies assessing satisfaction with LI have not been conducted in recent years, and have only been conducted in limited geographic patient populations. Further research assessing satisfaction with TD will help address any dissatisfaction with its uses and allow for increased support and funding of future programmes.

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Section: Resultsmentioning

confidence: 99%

A systematic review of satisfaction with teledermatology

et al. 2017

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“…This compares favourably with other services that report 25% to 30% of patients need to be seen in-person after a teleconsultation. 13,14 Further to the complementary nature of teledermatology, this service recognises that not all patients are suitable for teledermatology consultations. 15 For example, many dermatologists prefer patients requiring review of suspicious pigmented lesions or other potential skin cancers to be seen in-person so a full-skin examination can be performed.…”

Section: Discussionmentioning

confidence: 99%

Real‐time teledermatology clinics in a tertiary public hospital: A clinical audit

et al. 2020

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Background: Our metropolitan hospital provides a real-time videoconference teledermatology clinic to enable patients in rural and remote Queensland to access a specialist for dermatology care. Methods: Retrospective clinical audit of all patient referrals to the videoconference teledermatology clinic for a two-year period. Results: A total of 483 consultations for 178 patients were conducted by the teledermatology clinic. Most patients were from remote and very remote regions of Queensland with a mean distance from our metropolitan hospital to the patient's town of residence of 1295 km. The most common reason for referral, as per the referral form, was rash (32%), followed by acne (12%) and dermatitis (11%). Most (78%) referrals came from general practitioners. Around 8% of patients seen in the teledermatology clinic were converted to in-person review; 81% of patients were managed via teledermatology, and 10% of patients did not attend the scheduled teleconsultation. Conclusion: The outpatient teledermatology clinic run through the Telehealth Centre of a metropolitan hospital is an effective way of delivering a general dermatology consultation service to rural and remote patients in a timely manner.

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“…For example, there are two active services in KwaZulu-Natal, a synchronous videoconferencebased service and an asynchronous mobile phone-based service. The synchronous service started in 2003, and operates between three rural district hospitals and the local medical school (Mars & Dlova, 2008). The asynchronous service began spontaneously in 2013 with several rural hospitals using mobile phones and instant messaging (WhatsApp) (Mars & Scott, 2017) to send text messages and photographs, or emails, to the medical school (Mars & Scott, 2015b.…”

Section: Teledermatology In South Africamentioning

confidence: 99%

“…TD regulations: A regulation or similar directive that required TD service provision as a routine healthcare practice would provide a clear mandate. Given that the literature provides evidence that TD can reduce referrals up to 75% (Mars & Dlova, 2008) and that telemedicine, of which TD is one example, is feasible (Bashshur et al, 2016), the value proposition is evident. The evidence supports the need to examine and implement appropriate regulation to enable compliance to the Protection of Personal Information Act (POPI) and relevant laws (Republic of South Africa, 2004, 2013).…”

Section: Category: Ehealth Regulationsmentioning

confidence: 99%

“…Dermatologists can then spend more time with patients and one would not wait 4 months to get an appointment. ClinicianThe literature provides support for the value proposition (Whited, 2017) which TD holds both locally (Mars & Dlova, 2008) and in Korea (Shin, Kim, Ryu, Yoon, & Jo, 2014). Two design requirements were identified for the category of eHealth benefits:…”

Section: Category: Ehealth Benefitsmentioning

confidence: 99%

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Design Requirements for a Teledermatology Scale-up Framework

Walters

Scott

Mars

2018

SACJ

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The value proposition of full-scale teledermatology is evidenced in the literature. The public health sector of South Africa’s KwaZulu-Natal province began synchronous teledermatology in 2003, followed by spontaneous asynchronous (mobile) teledermatology in 2013. No scale-up has been formally planned. This paper establishes design requirements that will inform the identification or de novo development of a teledermatology scale-up framework. Methods: A requirements definition process with inductive reasoning approaches was applied. Analysis of semi-structured interviews (19) with key teledermatology stakeholders (17) and observations from two teledermatology programmes, informed by lessons learned from prior teledermatology implementation attempts, eHealth scale-up literature and authors’ expert opinion, led to identification of Themes, and iterative reflection gave rise to Categories and Requirements. Results: Teledermatology scale-up framework design requirements emerged comprised of themes (4), categories (12), and specific design requirements (30). Discussion: This paper describes a process and resulting evidence-based (stakeholder interviews; programme observations; literature) and experience-based (expert opinion) design requirements to inform the identification and adoption / adaptation or de novo development of a teledermatology scale-up framework (TDSF) for KwaZulu-Natal’s public health sector. The proposed approach is recommended as a pre-requisite for scaling, including in other settings and for other telehealth applications.

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Teledermatology by videoconference: Experience of a pilot project

Cited by 17 publications

References 30 publications

A systematic review of satisfaction with teledermatology

A systematic review of satisfaction with teledermatology

Real‐time teledermatology clinics in a tertiary public hospital: A clinical audit

Design Requirements for a Teledermatology Scale-up Framework

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