Patient satisfaction with realtime teledermatology in Northern Ireland

Loane, Maria; Bloomer, S E; Corbett, R; Eedy, D.J.; Gore, H E; Mathews, C; Steele, Katherine H.; Wootton, Richard

doi:10.1258/1357633981931254

Cited by 128 publications

(85 citation statements)

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“…A review of the current clinical literature indicates that experiences with using various applications of telemedicine for somatic consultations are overwhelmingly positive (Allen & Hayes, 1995;Loane et al, 1998;Mekhjian et al, 1999;Pedersen & Holland, 1995), while experiences with conducting remote mental health services yield varying results. Of particular interest are findings that indicate that psychologists tend to be more apprehensive about this technology than are their patients in treatment.…”

Section: Opinions About Telemedicinementioning

confidence: 99%

Neuropsychological assessment and telemedicine: A preliminary study examining the reliability of neuropsychology services performed via telecommunication

Jacobsen

Sprenger

Andersson

et al. 2003

J Int Neuropsychol Soc

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Within the last decade, various applications of two-way audio-visual telecommunication have been implemented in the Norwegian health care system to facilitate the delivery of medical services to patients located in rural areas away from the hospitals. This technology may also be useful to extend neuropsychological services to underserved areas and thereby reduce the patients' travel time and costs. In the current study, a total of 12 visual, verbal and performance tests were administered face-to-face and via videophones to 32 volunteer participants to examine the consistency and stability of test-scores when delivered via different formats. The obtained reliability coefficients ranged from .37 to .86 with a median value of .74. When testing for mean differences, the measures on verbal learning (WMS-Logical Memory I) and auditory attention (Seashore Rhythm Test) differed significantly due to administration format (t = 2.34, p = .024 and t = 2.37, p = .025, respectively). The findings imply that administration format does not appear to affect the reliability of measurement but neuropsychological test performance is significantly higher for the measures of attention and memory when delivered via videophone. Additional research on these cognitive domains is required, and if the observed differences due to testing format persist, separate normative data via telecommunication will be required before assessments are carried out. Also, since only normal participants were included in this study, the findings may have external validity for normal populations, but similar controlled trials with patients need to be completed before remote assessments can be implemented in regular clinical practice.

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Section: Opinions About Telemedicinementioning

confidence: 99%

Neuropsychological assessment and telemedicine: A preliminary study examining the reliability of neuropsychology services performed via telecommunication

Jacobsen

Sprenger

Andersson

et al. 2003

J Int Neuropsychol Soc

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“…Patients reported that they were equally satisfied with LI teledermatology and conventional care and had no strong preference for one modality over another (Whited, 2010). Some patients reported initial discomfort due to the presence of camera (Gilmour et al, 1998;Loane et al, 1998a). Relatively few studies evaluated referring provider satisfaction in LI teledermatology.…”

Section: Satisfaction With Live Interactive 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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“…This allows direct interaction between the patient and the consultant. Loane et al showed that the colour and temporal resolution of live video images could be improved by changing from a hand-held single-chip video camera to a tripod mounted three-sensor RGB (red, green, blue) chip camera (13).…”

Section: Video Imaging Requirementsmentioning

confidence: 99%

“…Without the direct communication between the dermatologist and patient that real time interactive technology allows, it is up to the referring clinician to relay the dermatologist's recommendations to the patient. In addition to affecting patient satisfaction, this may influence the referring clinician's satisfaction as well (7,8,(15)(16)(17)(18).…”

Section: Video Imaging Requirementsmentioning

confidence: 99%

Teledermatology

Kadurina

Mitoff

2005

Biotechnology & Biotechnological Equipment

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Teledermatology has been the focus of much interest in recent years. It holds great potential for revolutionizing the delivery of dermatology services, providing equitable service to remote areas and allowing primary care physicians to refer patients todermatology centres of excellence at a distance. Teledermatology can be applied in one of two ways: it may be conducted in real-time, utilizing videoconferencing equipment, or by "store and forward" methods, when transmitted digital images or photographs are submitted with a clinical history. "Store and forward" teledermatology systems are easy to set up, cheaper and more convenient for the health care provider, but lack the immediacy of patient contact with the dermatologist, and involve a delay in obtaining the diagnosis and advice on management. Studies to date have generally found that real-time dermatology is likely to allow greater clinical information to be obtained from the patient. It must be recognized that teledermatology is potentially a useful communication tool for selected patients in primary care but is unlikely to solve waiting list problems or replace the need for local dermatology services. Before its routine application as a service tool, its reliability, accuracy and cost-effectiveness need to be verified by rigorous evaluation. It is increasingly likely that teledermatology will prove to be a significant tool in the provision of dermatology services in the future.

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Patient satisfaction with realtime teledermatology in Northern Ireland

Cited by 128 publications

References 0 publications

Neuropsychological assessment and telemedicine: A preliminary study examining the reliability of neuropsychology services performed via telecommunication

Neuropsychological assessment and telemedicine: A preliminary study examining the reliability of neuropsychology services performed via telecommunication

Teledermatology: Outcomes and Economic Considerations

Teledermatology

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