2018
DOI: 10.1016/j.jaad.2017.09.017
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Impact of dermatology eConsults on access to care and skin cancer screening in underserved populations: A model for teledermatology services in community health centers

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Cited by 84 publications
(64 citation statements)
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“…All of these benefits translate into cost significant cost savings to the patient, and if physicians are reimbursed properly, it can lead to more efficient office systems with reduced practice overhead. For example, in a retrospective cohort study, Naka et al 4 provided evidence that telemedicine improved access to dermatologic care in a large-scale primary care network while reducing wait times. Before the implementation of eConsults, access to dermatology was limited to only 11% (139/ 1258) of patients obtaining a referral leading to an appointment with a median wait time of 77 days.…”
Section: Editorialmentioning
confidence: 99%
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“…All of these benefits translate into cost significant cost savings to the patient, and if physicians are reimbursed properly, it can lead to more efficient office systems with reduced practice overhead. For example, in a retrospective cohort study, Naka et al 4 provided evidence that telemedicine improved access to dermatologic care in a large-scale primary care network while reducing wait times. Before the implementation of eConsults, access to dermatology was limited to only 11% (139/ 1258) of patients obtaining a referral leading to an appointment with a median wait time of 77 days.…”
Section: Editorialmentioning
confidence: 99%
“…After the implementation of eConsults, this number significantly increased to 44% (499/ 1127) of patients evaluated, which resulted in only 16% requiring a face-to-face visit with a median wait time of only 28 days. 4 Phadke et al 5 similarly reviewed eConsult data from 306 encounters and compared them with in-person consult data at an academic allergy/immunology practice to determine consult volume, outcomes, indications, and timing. eConsults were increasingly used in this practice, particularly for adverse drug reactions and immunodeficiency, and resulted in decreased inperson wait times despite an increase in overall consult volume, supporting this model's ability to provide expedited, problem-focused care.…”
Section: Editorialmentioning
confidence: 99%
“…The raison d'être of TD is to provide better, cheaper, and faster dermatologic care to obtain an earlier diagnosis and treatment (Moreno-Ramírez and : Naka et al, 2018. TD provides better accessibility that is paramount for cancer screening (especially in elderly people) as it has been shown in a study that higher the number of patients included in a TD system, the greater the likelihood of improving pickup of early stage tumors, even in a precancerous stage (Moreno-Ramirez et al, 2017).…”
Section: Discussionmentioning
confidence: 99%
“…Literature favoring the integration of telehealth into care provision continues to accumulate, suggesting that offering care virtually is effective and can improve important outcomes, such as access to health care [ 5 , 6 , 24 - 26 ]. Within this body of literature, evidence suggesting that delivering wound care using telehealth is feasible, improves health care outcomes, and reduces costs [ 27 - 29 ] is burgeoning.…”
Section: Discussionmentioning
confidence: 99%