Medicolegal aspects of teledermatology

Arimany–Manso, Josep; Pujol, Ramón M.; García‐Patos, Vicente; Saigí, Umbert; Martín-Fumadó, Carles

doi:10.1016/j.adengl.2020.08.014

Cited by 5 publications

(5 citation statements)

References 30 publications

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“…5,6 Telemedicine has been used in almost every specialty, including procedural specialties. 5,[7][8][9][10][11][12][13][14][15][16][17] Further, especially since the beginning of the COVID-19 pandemic, telemedicine use has increased internationally. [18][19][20][21] Although various forms of telemedicine, including phone calls and electronic messaging, have been used extensively in our clinic for years, the COVID-19 pandemic has led to the implementation and successful use of audiovisual technologies for patient care visits across the Mayo Clinic enterprise.…”

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confidence: 99%

Physician Satisfaction With Telemedicine During the COVID-19 Pandemic: The Mayo Clinic Florida Experience

Malouff¹,

TerKonda²,

Knight³

et al. 2021

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

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Objective To evaluate physician perceptions and attitudes toward telemedicine use at a tertiary care academic institution in Northeast Florida during the COVID-19 pandemic. Methods An anonymous 38-question cross-sectional survey was developed using Qualtrics and emailed to all staff physicians from all specialty disciplines at the Mayo Clinic Florida. The survey was open from August 17, 2020 through September 1, 2020. Collected data included general demographics and employment information, attitude and experience with telemedicine use before and during COVID-19, perception of patients’ experience, and the effect of telemedicine on burnout. Results The survey was distributed to 529 eligible physicians at our institution, with 103 physicians responding (19.5%). The distribution of specialties was 22.3% primary care specialties, 40.8% other internal medicine subspecialties, and 17.5% surgical specialties. Collectively, 63% found comparable quality of care when provided virtually (vs. in-person), while 80% perceived telemedicine as cost-effective. A total of 76% of physicians felt that telemedicine increased flexibility and control over patient-care activities, with 36% reporting improved work-life balance and 30% reporting improved burnout symptoms. Overall, 42% preferred using telemedicine over in-person visits when possible. Conclusions Physicians generally held positive attitudes regarding the adoption of telemedicine, and perceived that the quality of healthcare delivery as generally comparable to in-person care. Future studies are needed to explore attitudes regarding telemedicine after the pandemic, and how this virtual technology may be further utilized to improve physicians’ professional and personal well-being.

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confidence: 99%

Physician Satisfaction With Telemedicine During the COVID-19 Pandemic: The Mayo Clinic Florida Experience

Malouff¹,

TerKonda²,

Knight³

et al. 2021

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

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“… 66 Furthermore, there is a need for internationally shared guidelines to address certain medico-legal shortcomings, such as the absence of informed consent for teledermatology patients and the risk of loss of privacy of patients. 67 To date, the advancement of technologies has led to the development of AI, with devices that can express human capabilities, including reasoning and decision-making. Several studies have shown, however, that at present no programme, despite advanced, can replace a dermatological examination, not least because of the absence of datasets that need to be supplemented by the dermatologists themselves.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have shown, however, that at present no programme, despite advanced, can replace a dermatological examination, not least because of the absence of datasets that need to be supplemented by the dermatologists themselves. 67 It also raises ethical and medico-legal issues that need to be addressed at an international level. 68 …”

Section: Discussionmentioning

confidence: 99%

The Past, the Present and the Future of Teledermatology: A Narrative Review

Tommasino,

Megna,

Cacciapuoti

et al. 2024

CCID

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Teledermatology may be defined as the application of telemedicine to dermatology. According to published data, teledermatology is more widespread in Europe and North America, probably where resources for health care are greater than in other areas of the world. Indeed, teledermatology requires advanced technology to be efficient, as high image quality is necessary to allow the dermatologist to make correct diagnoses. Thanks to the recent advances in this field, teledermatology is become routinary in daily clinical practice. However, its use has been improved over time, overcoming several challenges. The aim of this narrative review is to retrace the almost 30-year history of teledermatology, to address the new challenges posed by advancing technologies such as artificial intelligence and the implications it may have on healthcare.

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“…Teledermatology provides specialized medical care with reduced diagnostic precision and a more significant proportion of incorrect diagnoses. As a result, given that it is a new technique, it should be used with extreme caution concerning illnesses with lower diagnostic accuracy [26], such as inflammatory dermatoses and skin cancers, has been indicated. Teledermatology must defend the patient's right to autonomy, professional privacy, confidentiality, and intimacy.…”

Section: Table 1: Various Studies Assessing Teledermatology For Educa...mentioning

confidence: 99%

“…The doctor must have direct knowledge of the patient's clinical history or have access to it during medical care to safeguard the patient's privacy and intimacy and the doctor-patient relationship. The method of telecare used to conduct the consultation, the suggestions, and the recommended medical care should all be written in the patient's medical file [26]. An information method on the goals and uses of the images captured and sent is necessary for the practice of teledermatology.…”

Section: Table 1: Various Studies Assessing Teledermatology For Educa...mentioning

confidence: 99%

Applications of Telemedicine in Dermatology

Sud¹,

Anjankar²

2022

Cureus

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Telemedicine is a technological tool that enhances well-being all around the globe. Practicing medicine or performing a clinical examination from a distance was a mere thought until this decade's pandemic hit the world. Telemedicine is practicing medicine sitting on one side of a globe and diagnosing and treating a different individual from the opposite part of the world. There is a long way to go for medical practitioners to execute an entire clinical examination analogous to an accurate clinical examination. Telemedicine is a supplement to a patient's total care, not a replacement for in-person doctor visits. Family doctors can easily access specialists using telemedicine, which enables them to monitor their patients closely. Numerous telemedicine systems, including store and forward, real-time and remote, or self-monitoring, are used worldwide for education, healthcare delivery and control, sickness screening, and disaster management. Even if telemedicine cannot solve every issue, it can significantly lessen the strain on the healthcare system. Nevertheless, investigations performed via telemedicine have started incorporating various medical instruments called telemedicine peripherals, including electronic stethoscopes, teleophthalmoscopes, and video-otoscopes. The prevailing disease around the globe of coronavirus has remarkably debilitated the medical infrastructure in providing diagnosis, treatment, monitoring, and follow-ups. As a result, there is a significant change in the way of practicing medicine and managing patients. Telemedicine provides timely patient care and reduces the risk of exposure to various communicable diseases offered to medical practitioners. The development of imaging technologies has significantly impacted dermatology, a specialty that relies on visual signals. Reviewing dermatology's existing situation and potential digital future, in brief, is the goal of this study. This study provides brief information on telemedicine, its application and scope in dermatology, and how it can alter the healthcare system.

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Medicolegal aspects of teledermatology

Cited by 5 publications

References 30 publications

Physician Satisfaction With Telemedicine During the COVID-19 Pandemic: The Mayo Clinic Florida Experience

Physician Satisfaction With Telemedicine During the COVID-19 Pandemic: The Mayo Clinic Florida Experience

The Past, the Present and the Future of Teledermatology: A Narrative Review

Applications of Telemedicine in Dermatology

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