Impact of teledermatology on the accessibility and efficiency of dermatology care in an urban safety-net hospital: A pre-post analysis

Zakaria, Adam; Maurer, Toby; Su, George; Amerson, Erin

doi:10.1016/j.jaad.2019.08.016

Cited by 45 publications

(33 citation statements)

References 21 publications

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“…Telehealth has been associated with significant reductions in no-show rates when used in dermatology, suggesting that telemedicine may address traditional barriers to and disparities in access to care while also improving efficiency. 6,7 Limited data are available evaluating the impact of transitioning care to telehealth amid the COVID-19 pandemic across specialties. Our study compares data from 49 specialties to highlight differences in completed visits (Fig.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Telehealth Implementation on Underserved Populations and No-Show Rates by Medical Specialty During the COVID-19 Pandemic

Franciosi

Tan

Kassamali

et al. 2021

Telemedicine and e-Health

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A unique and sudden need for virtual medical visits created by the coronavirus disease 2019 (COVID-19) pandemic has led to an unprecedented expansion of telemedicine across nearly all medical specialties in the United States. In addition to providing essential medical services during the pandemic, telemedicine has the potential to expand health care access to underserved populations by eliminating traditional barriers to care such as transportation needs, distance from specialty providers, and approved time off from work. However, the literature regarding telehealth accessibility for low-income, non-English-speaking, and minority patients remains limited. Through a cross-sectional analysis comparing 2019 clinic visits with 2020 telehealth visits at the UMass Memorial Medical Center, we demonstrate specialty-specific changes in patient demographics, including a younger population, fewer non-English-speaking patients, and a relative preservation of minority, Medicaid, and Medicare patients among telehealth visits in comparison to clinic visits. We also demonstrate that nonsurgical specialties had significantly lower no-show rates and the greatest number of telehealth visits. Overall, our findings highlight the potential shortcomings of telemedicine in servicing non-English-speaking patients, while maintaining that it is an important tool with the potential to improve access to health care, particularly in nonprocedural specialties.

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Section: Introductionmentioning

confidence: 99%

The Impact of Telehealth Implementation on Underserved Populations and No-Show Rates by Medical Specialty During the COVID-19 Pandemic

Franciosi

Tan

Kassamali

et al. 2021

Telemedicine and e-Health

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“…Dermatology eConsults utilize store‐and‐forward (SAF) or asynchronous teledermatology, allowing for specialist review of clinical images and remote clinical guidance. This promising tool may increase access to and reduce wait times for specialist guidance, enhance primary care management of skin disease, and triage complex cases for face‐to‐face (FTF) evaluation in dermatology clinic 3,4 . While SAF teledermatology may improve the accuracy of diagnosis and treatment of skin disease in children, 5‐9 little is known about the operational efficiencies and potential cost savings in the pediatric population.…”

Section: Introductionmentioning

confidence: 99%

Pediatric dermatology eConsults: Reduced wait times and dermatology office visits

Seiger

Hawryluk

Kroshinsky

et al. 2020

Pediatric Dermatology

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Background/Objectives: Store-and-forward teledermatology provides pediatricians with specialist guidance in managing skin disease. This study evaluates wait times and face-to-face (FTF) dermatology visit avoidance associated with a pediatric dermatology eConsult program at an urban academic medical center. Methods: In this retrospective cohort study, electronic medical records were reviewed for patients under age 18 for whom a dermatology eConsult was completed between November 1, 2014, and December 31, 2017. Wait times for eConsult completion and initial FTF dermatology appointments were calculated and compared to average wait times for new patient dermatology office appointments from 2016 to 2017. Recommendations for FTF dermatology visits were assessed, along with FTF visit attendance and potential cost savings. Results: One hundred eighty pediatric patients with 188 unrelated skin conditions ("cases") were referred to the program. Of 188 cases, FTF dermatology visits were recommended for 60 (31.9%). Actual FTF dermatology visit avoidance was 53.7% of total cases (n = 101 for whom FTF visit was not recommended and no dermatology visit occurred within 90 days after eConsult submission). The program generated potential savings of $24 059 ($9840 out-of-pocket) in 2016 dollars. Average turnaround for eConsult completion was 1.8 calendar days (median: 1 calendar day, target: 2 business days). Average wait time to initial FTF dermatology evaluation was 37.3 calendar days (versus 54.1 days for pediatric patients referred directly to dermatology clinic between 2016 and 2017). Conclusion: Pediatric dermatology eConsults reduce wait times for specialist care, triage cases for in-office evaluation, reduce need for FTF dermatology visits, and offer potential cost savings for payers and patients. K E Y W O R D S eConsults, health care delivery, store-and-forward teledermatology | 805 Pediatric Dermatology SEIGER Et al.

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“…Compared to in-person clinic visits, telemedicine reduces geographic and financial barriers to healthcare access, increases convenience, lowers visit costs, and facilitates case triaging and scheduling [1][2][3][4][5][6][7][8][9]. Telemedicine has become particularly important during the recent COVID-19 pandemic because it facilitates patient monitoring while reducing transmission and exposure risks [10].…”

Section: Introductionmentioning

confidence: 99%

A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation

Dovigi

English

2020

Curr Derm Rep

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Impact of teledermatology on the accessibility and efficiency of dermatology care in an urban safety-net hospital: A pre-post analysis

Cited by 45 publications

References 21 publications

The Impact of Telehealth Implementation on Underserved Populations and No-Show Rates by Medical Specialty During the COVID-19 Pandemic

The Impact of Telehealth Implementation on Underserved Populations and No-Show Rates by Medical Specialty During the COVID-19 Pandemic

Pediatric dermatology eConsults: Reduced wait times and dermatology office visits

A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation

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