Teledermatology in the Highlands of Scotland

Dh, Jones; C, Crichton; Macdonald, Angus S.; Potts, S; Sime, D; Toms, Jeremy; McKinlay, Justin

doi:10.1258/1357633961929402

Cited by 57 publications

(36 citation statements)

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“…Seven patients refused to participate. The reasons given included a dislike of machines (4), lack of time (2), and frustration with the skin problem (1). No obvious common characteristic explained their lack of participation.…”

Section: Patient Characteristicsmentioning

confidence: 99%

“…[1][2][3][4] The lack of influence of bandwidth on patient satisfaction suggests that the quality of transmission provided at 1 ⁄4 T1 bandwidth was sufficient for good physician and patient rapport. Age proved to be an independent predictor of patient acceptance; older patients were less inclined to embrace the new technology.…”

Section: Patient Provider and Nurse-escort Impressionsmentioning

confidence: 99%

See 1 more Smart Citation

Teledermatology and In-Person Examinations

Lowitt¹,

Kessler²,

Kauffman³

et al. 1998

Arch Dermatol

153

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Section: Patient Characteristicsmentioning

confidence: 99%

Section: Patient Provider and Nurse-escort Impressionsmentioning

confidence: 99%

Teledermatology and In-Person Examinations

Lowitt¹,

Kessler²,

Kauffman³

et al. 1998

Arch Dermatol

153

View full text Add to dashboard Cite

“…Relatively few studies evaluated referring provider satisfaction in LI teledermatology. While there was some dissatisfaction associated with technical difficulties, most referring providers report being satisfied with the LI teledermatology (Gilmour et al, 1998;Jones et al, 1996). Similar to dermatologists who practice S&F teledermatology, dermatologists who practice LI teledermatology report being satisfied with practicing LI teledermatology.…”

Section: Satisfaction With Live Interactive Teledermatologymentioning

confidence: 93%

Teledermatology: Outcomes and Economic Considerations

Pathipati¹,

Armstrong²

2011

Telemedicine Techniques and Applications

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IntroductionTeledermatology is defined as the provision of dermatologic care through the use of communications technology (Goldyne & Armstrong, 2010). It offers many benefits that include increased access to dermatologic services and potential reduction in costs associated with care. Teledermatology is traditionally categorized into two different models based on the technology that is employed: store-and-forward (S&F) teledermatology, and live, interactive (LI) teledermatology (Goldyne & Armstrong, 2010). While hybrid models (a combination of S&F and LI technology) are practiced at selected institutions, this chapter focuses primarily on S&F and LI models. We will present operational flows of these two technology-enabled modalities, common outcomes measures used for evaluation of teledermatology quality metrics, and economic analyses. At the end of the chapter (in section 5), we will consider a novel, technology-independent framework for categorizing teledermatology models as well. This system relies on classification of teledermatology based on healthcare delivery models, and serves as an alternative way to organize and evaluate the provision of teledermatologic care. Store-and-forward teledermatologyStore-and-forward teledermatology is an asynchronous means for providing dermatologic care, as it relies on the asynchronous transmission of static digital images, patient histories, and specialist recommendations rather than real-time interaction between the specialist and the patient (Goldyne & Armstrong, 2010). In the S&F model, a medical staff personnel at the referral site typically takes images of the relevant skin condition and obtains medical history. This information is then sent to a dermatologist via a secure internet connection. The dermatologist evaluates the patient's condition asynchronously and transmits the recommendations back to the primary care provider at the referral site (Pak et al., 2009). Outcomes measures of store-and-forward teledermatologyTeledermatology studies have assessed numerous outcomes measures, including learning effects, length of consultation, and technical aspects (Eminovic et al., 2007). We will focus this discussion on four extensively used outcomes measures: diagnostic accuracy, diagnostic reliability, clinical outcomes, and satisfaction.

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“…Over half of the patients could then be dealt with by the general practitioner immediately after consultation. 25 Common wisdom sees this type of service as a useful means of screening patients prior to being seen by specialists, especially if travel is involved. However, in this study the patients suggested that they preferred an initial face-to-face consultation with the specialist dermatologist, and that the teleconsultation would have been better used for subsequent review of their progress.…”

Section: Communication and Primary Carementioning

confidence: 99%

Protocols and evidence-based healthcare

Coiera¹

2003

Guide to Health Informatics, 2Ed

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IntroductionThe care of patients now almost inevitably seems to involve many different individuals, all needing to share patient information and discuss their management. As a consequence there is increasing interest in, and use of, information and communication technologies to support health services. Indeed, if information is the lifeblood of healthcare then communication systems are the heart that pumps it.1 Yet, while there is significant discussion of, and investment in, information technologies, communication systems receive much less attention. Whilst there is some significant advanced research in highly specific areas like telemedicine, the clinical adoption of even simpler services like voice-mail or electronic mail is still not commonplace in many health services. Much of this would change if it were more widely realised that the biggest information repository in healthcare sits in the heads of the people working within it, and the biggest information network is the complex web of conversations that link the actions of these individuals.There remain enormous gaps in our broad understanding of the role of communication services in health care delivery. Laboratory medicine is perhaps even more poorly studied than many other areas, such as the interface between primary care and hospital services. Yet clinical laboratories in many ways are message-processing enterprises, receiving messages containing information requests, and generating results that are sent as messages back to clinical services. While there is much current focus on improving laboratory turn around times and internal efficiencies, little is really known about the broader communication processes within the healthcare system, of which clinical laboratories are but one link in the chain. Yet without this broader view, there is an ever-present risk that local systems within laboratories are optimised and over-engineered, but that the global performance of health services remain relatively unchanged.Given this lack of specific information about laboratory communication services, this paper will step back and generally review the components of a communication system, including the basic concepts of a communication channel, service, device and interaction mode. The review will then try and summarise some of what is known about specific communication problems that arise across health services in the main, including the community and hospital service delivery. Review Article Communication Systems in Healthcare Enrico CoieraCentre for Health Informatics, University of New South Wales, NSW 2052, Australia For correspondence: Dr E Coiera e-mail: e.coiera@unsw.edu.au AbstractThe care of patients now almost inevitably seems to involve many different individuals, all needing to share patient information and discuss their management. As a consequence there is increasing interest in, and use of, information and communication technologies to support health services. Yet, while there is significant discussion of, and investment in, information technologies, ...

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Teledermatology in the Highlands of Scotland

Cited by 57 publications

References 0 publications

Teledermatology and In-Person Examinations

Teledermatology and In-Person Examinations

Teledermatology: Outcomes and Economic Considerations

Protocols and evidence-based healthcare

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