Patient and practitioner satisfaction with tele-dermatology including Australia’s indigenous population: A systematic review of the literature

Kozera, Emily; Yang, Anna; Murrell, Dédée F.

doi:10.1016/j.ijwd.2016.06.004

Cited by 29 publications

(56 citation statements)

References 35 publications

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“…A systematic review conducted within the context of Australia's native population reported the teledermatological diagnostic accuracy of 80%; it also revealed that accuracy rose from 66% with poor-quality images to 87% with images of adequate quality. 28 Concordance levels between primary care practitioners and teledermatologists have been between 41% and 89%, 29 while it was 48% in another study. 30 agreement between the dermatologist and the general practitioner with the utilization of teledermatology in the remote training of general practitioners in Burkina Faso.…”

Section: Diagnostic Acuity Of Teledermatological Models Along With Qumentioning

confidence: 88%

Use of Teledermatology to Improve Dermatological Access in Rural Areas

Coustasse

Sarkar

Abodunde

et al. 2019

Telemedicine and e-Health

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Introduction: Dermatological access in rural regions has been impacted due to an acute, global dermatologist shortage coupled with a striking disparity in dermatologist density between urban and rural areas. As a result, the dermatological arena has been under notable pressure to amplify access. Teledermatology has entailed the use of technology to provide dermatological services to individuals located at a remote distance. The purpose of this literature review was to examine the effect of utilization of teledermatology to determine enhancement of dermatological access to residents of rural areas. Materials and Methods: This review followed a systematic approach and utilized five electronic databases to obtain peerreviewed journal articles. A PRISMA approach was used and a total of 86 references were employed. Results: Teledermatology programs have been able to complement conventional dermatological care to enhance dermatological access to rural areas that have suffered from a shortage of dermatologists and could aid in supplementing traditional care as well. Within rural settings, the results of three studies in this review indicated the importance of improved quality for diagnostic precision, whereas one study reported that clinical images might not provide sufficient insight to deliver clear-cut diagnoses. In addition, enhancements in diagnostic precision could be obtained by upgrades in phone cameras to capture images. Finally, to most of the existing literature, in using teledermatology, physician satisfaction has been stronger than patient satisfaction. Conclusions: Teledermatology has had a beneficial impact in improving dermatological access to rural areas. The success of this technology is contingent upon the commitment and willingness of the dermatologist in utilizing it.

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Section: Diagnostic Acuity Of Teledermatological Models Along With Qumentioning

confidence: 88%

Use of Teledermatology to Improve Dermatological Access in Rural Areas

Coustasse

Sarkar

Abodunde

et al. 2019

Telemedicine and e-Health

View full text Add to dashboard Cite

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“…3–5 Teledermatology has been evaluated for skin cancer early detection, lesion follow-up, and many other skin conditions such as rashes and wounds, 6 and diagnosis and monitoring of acne 7 and psoriasis. 8 Teledermatology services have consistently demonstrated reduced waiting times for assessment and diagnosis, 9 increased access to services in rural and remote areas 10 and high patient satisfaction. 11,12 The choice of whether or not to adopt telehealth delivery rests with practitioners’ willingness to provide such service beyond the research or academic setting.…”

Section: Introductionmentioning

confidence: 99%

Evaluating healthcare practitioners’ views on store-and-forward teledermoscopy services for the diagnosis of skin cancer

et al. 2019

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Objective The aim of the study is to evaluate healthcare practitioners’ views on and satisfaction with (i) digital image acquisition and storage and (ii) store-and-forward teledermoscopy services for the diagnosis of skin cancer in their clinical practice. Methods An online survey was conducted among 59 healthcare practitioners (GPs ( n =17), dermatologists ( n =22), dermatology registrars ( n =18), a dermatology research fellow ( n =1) and a plastic surgeon ( n =1)) to assess usability of digital image acquisition and storage for when the imaging process is conducted by the healthcare practitioners themselves, or by their patients. The study identifies the enablers and barriers of this emerging mode of medical practice. A thematic analysis was used to extract key themes from open-ended responses, which involved identifying themes and patterns within and across participants. Results Thirty-four healthcare practitioners (58%) had previously used a mobile dermatoscope within their practice. Participants most appreciated its use in their practice for lesion monitoring (59%) and record keeping (39%). Challenges reported were the increased time to support the additional workload (45%), technical issues (33%) and cost of equipment (27%). Practitioners were unsure (36%) or did not advocate teledermoscopy for direct-to-consumer use (41%). Only 23% supported the use of direct-to-consumer teledermoscopy. Conclusion While most practitioners are receptive to mobile teledermoscopy, there was less support for patient-initiated use, whereby the patient controls the imaging process. As technology improves rapidly it is important to evaluate practitioners’ acceptance and satisfaction of evolving telehealth services, moving forward with models of practice where healthcare practitioners and other healthcare providers will feel comfortable engaging in telehealth services.

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“…Teledermatology can be cost‐effective or cost minimising when compared to traditional methods of delivering dermatological care . Both patients and providers report high satisfaction with teledermatology …”

Section: Evidence For Teledermatologymentioning

confidence: 99%

A review of literature supporting the development of practice guidelines for teledermatology in Australia

et al. 2020

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Despite the potential of teledermatology to increase access to dermatology services and improve patient care, it is not widely practised in Australia. In an effort to increase uptake of teledermatology, Australian-specific practice guidelines for teledermatology are being developed by the Australasian College of Dermatologist. This paper reports finding from literature reviews that were undertaken to inform the development of these guidelines. Results cover the following sections: Modalities of teledermatology; Patient selection and consent; Imaging; Quality and safety; Privacy and security; Communication; and Documentation and retention. The document educates providers about the benefits and limitations of telehealth while articulating how to enhance patient care and reduce risk when practicing teledermatology.

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Patient and practitioner satisfaction with tele-dermatology including Australia’s indigenous population: A systematic review of the literature

Cited by 29 publications

References 35 publications

Use of Teledermatology to Improve Dermatological Access in Rural Areas

Use of Teledermatology to Improve Dermatological Access in Rural Areas

Evaluating healthcare practitioners’ views on store-and-forward teledermoscopy services for the diagnosis of skin cancer

A review of literature supporting the development of practice guidelines for teledermatology in Australia

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