Medical and Legal Aspects of the Practice of Teledermatology in Spain

Gómez-Arias, Pedro Jesús; Arenas, Encarnación Abad; Blanco, M.C. Arias; Sánchez, J. Redondo; Gutiérrez, Manuel Galán; García‐Nieto, Antonio José Vélez

doi:10.1016/j.adengl.2020.09.016

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…The privacy of the patient could be at risk with this technology. Health professionals must obtain the patient’s consent before taking photos, and must explain how these will be used, utilizing adequate safety measures in their digital communications [ 39 , 40 ]. We believe that adequate information on the use of these images could contribute to the patients feeling safer, and that there was more respect for their privacy.…”

Section: Discussionmentioning

confidence: 99%

Patients’ Experiences and Communication with Teledermatology versus Face-to-Face Dermatology

Costa

López-Villegas

Pérez-Heredia

et al. 2022

JCM

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(1) Background: Teledermatology (TD) has exponentially grown since the onset of COVID-19, as the Face-to-Face Dermatology (F-F/D) modality changed within Public Health Systems. Although studies have been conducted on health results, we did not find any that analyzed the experiences of individuals who received care through TD. Therefore, the main objective of the study was to analyze the experiences of dermatology patients and the communication with health personnel. (2) Methods: A multicenter, controlled, randomized, non-blinded clinical trial was designed. Data were collected during the six months of follow-up. Four-hundred and fifty patients participated in the present study, who were assigned to two different groups: TD and F-F/D. The sociodemographic and clinical characteristics of the participants were collected. The ‘Generic Short Patient Experiences Questionnaire’ (GS-PEQ) was used to assess patients’ experiences, and the Healthcare Communication Questionnaire (HCCQ) was used to measure the communication of patients with healthcare professionals. (3) Results: After six months of follow-up, 450 patients completed the study (TD = 225; F-F/D = 225) of which 53.3% were women, with an average age of 52.16 (SD = 19.97). The main reasons for the consultations were skin lesions (51.56%) located on the head and neck (46.8%), followed by the legs (20.7%). According to the GS-PEQ, TD users indicated having a greater confidence in the professional skills of the doctors (p < 0.01). However, the F-F/D group indicated having received more adequate information about their diagnosis/afflictions (p < 0.01), were more involved in the decisions related to their treatment (p < 0.01), and more satisfied with the help and treatment received (p < 0.01). Regarding the HCCQ, the TD group obtained better assessments with respect to if the patients had been treated in a rude and hasty manner, if the health professionals had addressed them with a smile, and if these could adequately manage the reason for the consultation (p < 0.01). (4) Conclusions: The results of the study generally showed positive experiences and communication. The TD group indicated having received less information about the diagnosis, were less involved in the decisions, and were less satisfied with the help and treatment received. However, they indicated having more confidence on the professional skills of the doctors, and that the work at the institution was better organized. In addition, they perceived better communication skills of the health professionals, although less respect for their privacy.

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Section: Discussionmentioning

confidence: 99%

Patients’ Experiences and Communication with Teledermatology versus Face-to-Face Dermatology

Costa

López-Villegas

Pérez-Heredia

et al. 2022

JCM

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“…Spain and India are also using direct-to-patient or store-and-forward teledermatology during the pandemic; however, both Spain and India have reported the need for improved regulatory frameworks for these services. 31 - 35 …”

Section: Discussionmentioning

confidence: 99%

Teledermatology Utilization and Integration in Residency Training Over the COVID-19 Pandemic

et al. 2021

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Background During the 2019 Coronavirus (COVID-19) pandemic, the Division of Dermatology, University of Ottawa, adapted pre-existing local healthcare infrastructures to provide increased provider-to-provider teledermatology services as well as integrated teledermatology into the dermatology residency training program. Objectives (1) To assess the differences in utilization of provider-to-provider teledermatology services before and during the COVID-19 pandemic; and (2) to assess dermatology resident and faculty experiences with the integration of teledermatology into dermatology residency training at the University of Ottawa. Methods We conducted a cross-sectional analysis comparing provider-to-provider teledermatology consults submitted to dermatologists from April 2019 to October 2019 pre-pandemic with the same period during the pandemic in 2020. Two different questionnaires were also disseminated to the dermatology residents and faculty at our institution inquiring about their perspectives on teledermatology, education, and practice. Results The number of dermatologists completing consults, the number of providers submitting a case to Dermatology, and the number of consults initiated all increased during the pandemic period. Ninety-one percent of residents agreed that eConsults and teledermatology enhanced their residency education, enabled continuation of training during the pandemic, and that eConsult-based training should be incorporated into the curriculum. Ninety-six percent of staff incorporated a virtual dermatology practice model, and one-third used teledermatology with residents during the pandemic. Most staff felt there was value in providing virtual visits in some capacity during the pandemic. Conclusions Our study confirms that the use of teledermatology services continues to increase accessibility during the pandemic. Teledermatology enhances the education and training of residents and will be incorporated into dermatology residency programs.

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How Coronavirus Disease 2019 Changed Dermatology Practice in 1 Year Around the World

Sun

McMahon

Ugwu‐Dike

et al. 2021

Dermatologic Clinics

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Coronavirus disease 2019 (COVID-19) brought the world to its knees. As each nation grappled with launching an effective response while simultaneously minimizing repercussions on health care systems, economies, and societies, the medical and scientific landscape shifted forever. In particular, COVID-19 has challenged and transformed the field of dermatology and the way we practice. In this article, dermatologists from 11 countries share insights gained from local experience. These global perspectives will help provide a better framework for delivering quality dermatologic care and understanding how the field has evolved during this medical crisis.

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Medical and Legal Aspects of the Practice of Teledermatology in Spain

Cited by 3 publications

References 8 publications

Patients’ Experiences and Communication with Teledermatology versus Face-to-Face Dermatology

Patients’ Experiences and Communication with Teledermatology versus Face-to-Face Dermatology

Teledermatology Utilization and Integration in Residency Training Over the COVID-19 Pandemic

How Coronavirus Disease 2019 Changed Dermatology Practice in 1 Year Around the World

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