Web‐based consultations for parents of children with atopic dermatitis: results of a randomized controlled trial

Bergmo, Trine Strand; Wangberg, Silje C; Schopf, Thomas R.; Solvoll, Terje

doi:10.1111/j.1651-2227.2008.01033.x

Cited by 46 publications

(109 citation statements)

References 18 publications

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“…In a secondarycare setting, email consultation has been shown to facilitate access to a clinician, providing a communication channel. 29 In Norway, patients felt email consultation was positive in allowing them easier access to their general practice. 30 Impact of use has also been recognised in the US where physicians who were using email consultation with their patients expressed worries about email becoming a burden.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Experiences of using email for general practice consultations: a qualitative study

Atherton

Pappas²,

Heneghan³

et al. 2013

Br J Gen Pract

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BackgroundReports suggest approximately 21-23% of GPs in the UK have consulted with patients using email, but little is known about the nature of this use and what it means for clinicians and patients in general practice. AimTo understand the use of email consultation in general practice by investigating the experiences of existing users and views of experts. Design and settingA qualitative study conducted in 2010 using purposive sampling and semi-structured interviews in general practice and community settings in some London boroughs. MethodA maximum variation sample of GPs and patients who had used email for consultation in general practice were recruited, as were policy and/or implementation experts. Interviews continued until saturation was achieved. ResultsIn total 10 GPs, 14 patients, and six experts were interviewed. Consultation by email was often triggered by logistic or practical issues; motivators for ongoing use were the benefits, such as convenience, for GPs and patients. Both GPs and patients reported concerns about safety and lack of guidance about the 'rules of engagement' in email consultations, with GPs also concerned about workload. In response, both groups attempted to introduce their own rules, although this only went some way to addressing uncertainty. Long term, participants felt there was a need for regulation and guidance. ConclusionConsultations by email in general practice occur in an unregulated and unstructured way. Current UK policy is to promote consultations by email, making it crucial to consider the responsibility and workload faced by clinicians, and the changes required to ensure safe use; not doing so may risk safety breaches and result in suboptimal care for patients.

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Section: Comparison With Existing Literaturementioning

confidence: 99%

Experiences of using email for general practice consultations: a qualitative study

Atherton

Pappas²,

Heneghan³

et al. 2013

Br J Gen Pract

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show abstract

“…10 Our study further applied the widely used and accessible smartphone for caregivers to email postoperative photos to the healthcare team. The feasibility of this mode of communication has been previously studied; [5][6][7][8] however, there has been no evidence to show that this communication is effective in educating caregivers regarding wound-healing or providing insight on when to return to the clinic or ER for evaluation. To our knowledge, this study is the first to demonstrate the effect of email communication and smartphone photography on aftercare, specifically unnecessary ER return rates among patients having undergone hypospadias repair.…”

Section: Discussionmentioning

confidence: 99%

“…4 Smartphones and the internet have become widely accessible commodities worldwide, making email a feasible method of communication between a patient's family and healthcare provider. 5,6 A recent study by Turk et al showed that photos from caregivers' video cameras for the followup assessment of children post-hypospadias repair decrease hospital anxiety for children and reduce clinic time at followup visits. 7 However, to date, there is no clear evidence that this mode of communication will have any effect on unnecessary postoperative ER visits.…”

Section: Introductionmentioning

confidence: 99%

Impact of smartphone digital photography, email, and media communication on emergency room visits post-hypospadias repair

Chua

Saunders

Bowlin

et al. 2017

CUAJ

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Introduction: Advances in communication technology are shaping our medical practice. To date, there is no clear evidence that this mode of communication will have any effect on unnecessary postoperative emergency room (ER) visits. We aim to evaluate the effect of email and media communication with application of smartphone digital photography on post-hypospadias repair ER visit rates. Methods: This prospective cohort study included all patients who underwent hypospadias repair performed by a single surgeon from October 2014 to November 2015. Patients were categorized into two groups: Group A consented for smartphone photography and email communication and Group B declined. Reason for ER visits within 30 days postoperatively was assessed by another physician, who was blinded of patient group assignment. The reasons were categorized as: unnecessary ER visit, indicated ER visit, or visit unrelated to hypospadias surgery. Chi-square test and T-test were used for statistical analysis. Relative risk (RR) and corresponding 95% confidence interval (CI) were also calculated. Statistical significance was set at p<0.05. Results: Over a 14-month period, 96 patients underwent hypospadias repair (81 in Group A, 15 in Group B 5). No significant difference was noted between groups for overall ER return rate (RR 0.46, 95% CI 0.21, 1.0). However, the number of ER visits for wound check not requiring intervention was significantly lower in Group A than in Group B (RR 0.14, 95% CI 0.035, 0.56); likewise, a higher number of ER visits requiring intervention was noted in Group A compared with Group B, although statistically this was not significant (RR 1.67, 95% CI 0.23, 12.21). Conclusions: Email communication with the use of smartphone digital photography significantly reduced the number of unnecessary ER visits for post-hypospadias wound checks.

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“…14 Eleven studies were randomized controlled trials [11][12][13][14][15][16]18,[20][21][22][23][24][25] (Table S3). One study used the intervention for both screening and follow-up.…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] All studies were from high income countries. Six studies (seven articles) were from the United States, 11,15,18,21,[23][24][25] two from the Netherlands, 17,22 and one from each of the following countries: Austria, 16 Canada, 20 Denmark, 26 Italy, 12 Norway, 13 Singapore, 19 and United Kingdom.…”

Section: Clinical Outcomesmentioning

confidence: 99%

Teledermatology: current perspectives

Oliveira¹,

Wolff²,

Ribeiro³

et al. 2017

SHTT

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Web‐based consultations for parents of children with atopic dermatitis: results of a randomized controlled trial

Abstract: We found no effect of supplementing traditional treatment for childhood dermatitis with web-based consultations. This study showed that web consultations is feasible, but more research is needed to determine its effect on self-management skills, health outcome and resource use.

Cited by 46 publications

References 18 publications

Experiences of using email for general practice consultations: a qualitative study

Experiences of using email for general practice consultations: a qualitative study

Impact of smartphone digital photography, email, and media communication on emergency room visits post-hypospadias repair

Teledermatology: current perspectives

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