Patient cost–benefit analysis of teledermatology measured in a randomized control trial

Loane, Maria; Bloomer, S E; Corbett, R; Eedy, D.J.; Gore, H E; Hicks, Nicholas; Mathews, C; Paisley, Judy; Steele, K; Wootton, Richard

doi:10.1258/1357633991932414

Cited by 48 publications

(37 citation statements)

References 4 publications

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“…[3][4][5][6][7][8] Store-and-forward teledermatology using digital cameras has also recently been associated with reduced patient wait times, high patient satisfaction, [9][10][11][12][13] promising diagnostic reliability, [14][15][16][17] and clinical outcomes similar to conventional, faceto-face clinical care. 18,19 To date, however, the vast majority of teledermatology studies and projects have focused on industrialized nations, whereas the potential need for teledermatology may be most profound in the developing world.…”

mentioning

confidence: 99%

Mobile teledermatology in the developing world: Implications of a feasibility study on 30 Egyptian patients with common skin diseases

Tran¹,

Ayad²,

Weinberg³

et al. 2011

Journal of the American Academy of Dermatology

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mentioning

confidence: 99%

Mobile teledermatology in the developing world: Implications of a feasibility study on 30 Egyptian patients with common skin diseases

Tran¹,

Ayad²,

Weinberg³

et al. 2011

Journal of the American Academy of Dermatology

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“…For example, researchers in New Zealand found that, compared to a clinic visit, the use of LI teledermatology saved patients an average of 3.45 hours of time, primarily due to reduced traveling time (Oakley et al, 2000). However, LI teledermatology does not necessarily reduce consult time for the dermatologist (Loane et al, 1999(Loane et al, , 2001bOakley et al, 2000).…”

Section: Clinical Outcomes For LI Teledermatologymentioning

confidence: 99%

Teledermatology: Outcomes and Economic Considerations

Pathipati¹,

Armstrong²

2011

Telemedicine Techniques and Applications

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IntroductionTeledermatology is defined as the provision of dermatologic care through the use of communications technology (Goldyne & Armstrong, 2010). It offers many benefits that include increased access to dermatologic services and potential reduction in costs associated with care. Teledermatology is traditionally categorized into two different models based on the technology that is employed: store-and-forward (S&F) teledermatology, and live, interactive (LI) teledermatology (Goldyne & Armstrong, 2010). While hybrid models (a combination of S&F and LI technology) are practiced at selected institutions, this chapter focuses primarily on S&F and LI models. We will present operational flows of these two technology-enabled modalities, common outcomes measures used for evaluation of teledermatology quality metrics, and economic analyses. At the end of the chapter (in section 5), we will consider a novel, technology-independent framework for categorizing teledermatology models as well. This system relies on classification of teledermatology based on healthcare delivery models, and serves as an alternative way to organize and evaluate the provision of teledermatologic care. Store-and-forward teledermatologyStore-and-forward teledermatology is an asynchronous means for providing dermatologic care, as it relies on the asynchronous transmission of static digital images, patient histories, and specialist recommendations rather than real-time interaction between the specialist and the patient (Goldyne & Armstrong, 2010). In the S&F model, a medical staff personnel at the referral site typically takes images of the relevant skin condition and obtains medical history. This information is then sent to a dermatologist via a secure internet connection. The dermatologist evaluates the patient's condition asynchronously and transmits the recommendations back to the primary care provider at the referral site (Pak et al., 2009). Outcomes measures of store-and-forward teledermatologyTeledermatology studies have assessed numerous outcomes measures, including learning effects, length of consultation, and technical aspects (Eminovic et al., 2007). We will focus this discussion on four extensively used outcomes measures: diagnostic accuracy, diagnostic reliability, clinical outcomes, and satisfaction.

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“…Diese sog. "live interactive"-Konsultation bietet den Vorteil der unmittelbaren aktiven Kommunikation, ist aber zeitaufwendiger [24]. Zum einen müssen zwischen Sender und Empfänger genaue…”

Section: Bildübertragungunclassified

Dermatologie in der Telemedizin

Düker¹,

Elsner²

2002

Der Hautarzt

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Telemedicine including teledermatology is the application of telecommunication technology for the purpose of diagnostics, planning and guiding of therapy and education. With the possibility to gain fast access to specialty knowledge, telemedicine makes it possible to deliver health care to patients at distant sites. By participating in telemedical consultations, patients receive accurate diagnosis in a rapid manner and save travel costs and time. Due to recent advances in computing and telecommunications technology, telemedicine will assume a more and more important role in future health care delivery. Telemedicine is utilized by almost all medical specialties but to varying degrees. Dermatology as a visually based specialty is predestined to use the various capabilities of telemedicine. The main applications so far include teledermatohistology and clinical teledermatology. The objective of this paper is to present the current status of teledermatology as part of telemedicine with a look toward future applications.

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Patient cost–benefit analysis of teledermatology measured in a randomized control trial

Cited by 48 publications

References 4 publications

Mobile teledermatology in the developing world: Implications of a feasibility study on 30 Egyptian patients with common skin diseases

Mobile teledermatology in the developing world: Implications of a feasibility study on 30 Egyptian patients with common skin diseases

Teledermatology: Outcomes and Economic Considerations

Dermatologie in der Telemedizin

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