Teledermatology in the nursing home

Zelickson, Brian D.; Homan, Linda

doi:10.1001/archderm.133.2.171

Cited by 83 publications

(24 citation statements)

References 12 publications

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“…It is likely that teledermatologic consultation will have a different effect on preventable consultations when applied to specific patient groups, such as nursing home residents with ulcers. 23 We found suggestive evidence that teledermatologic consultation is useful in reassuring patients. The proportion of patients for whom a consultation was nonpreventable because of patient request was much higher in the control group than in the teledermatologic consultation group.…”

Section: Patient Satisfactionmentioning

confidence: 59%

Teledermatologic Consultation and Reduction in Referrals to Dermatologists

Eminović¹,

Keizer²,

Wyatt³

et al. 2009

Arch Dermatol

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To determine whether teledermatologic consultations can reduce referrals to a dermatologist by general practitioners (GPs).Design: Multicenter cluster randomized controlled trial. Setting and Participants:We recruited 85 GPs from 35 general practices in 2 regions in the Netherlands (Almere and Zeist); 5 dermatologists from 2 nonacademic hospitals were also included in the study. Interventions:The GPs randomized to the intervention used a teledermatologic consultation system to confer with a dermatologist, whereas those in the control group referred their patients according to usual practice. All patients, regardless of their condition, were seen in the office by a dermatologist after approximately 1 month.Outcome Measures: The main outcome measure was the proportion of office visits prevented by teledermatologic consultation, as determined by dermatologists at approxi-matelythe1-monthofficevisit.Thesecondaryoutcomemeasure was patient satisfaction, measured using the Patient Satisfaction Questionnaire III developed by Ware et al. Results:The 85 study GPs enrolled 631 patients (46 intervention GPs, 327 patients; 39 control GPs, 304 patients). The 5 dermatologists considered a consultation preventable for 39.0% of patients who received teledermatologic consultation and 18.3% of 169 control patients, a difference of 20.7% (95% confidence interval, 8.5%-32.9%). At the 1-month dermatologist visit, 20.0% of patients who received teledermatologic consultation had recovered compared with 4.1% of control patients. No significant differences in patient satisfaction were found between groups.Conclusions: Teledermatologic consultation offers the promise of reducing referrals to a dermatologist by 20.7%. Providing teledermatologic consultation by GPs with more extended knowledge of dermatology may further reduce the need for dermatologist referrals.

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Section: Patient Satisfactionmentioning

confidence: 59%

Teledermatologic Consultation and Reduction in Referrals to Dermatologists

Eminović¹,

Keizer²,

Wyatt³

et al. 2009

Arch Dermatol

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“…All studies used a repeated measures study design with the exception of one randomized controlled trial. 11 Based on location, most of the studies were conducted in the United States (n = 14), [3][4][5][6]22,24,25,33,35,37,[41][42][43]45 followed by the United Kingdom (n = 9), 11,12,15,18,29,30,32,38,44 Italy (n = 6), 7,8,20,21,36,39 Spain (n = 4), 9,10,13,17 Australia/New Zealand (n = 3), 14,31,40 Turkey (n = 2), 16,19 and one study each from Germany, 23 Netherlands, 24 Pakistan, 27 Brazil, 28 and Switzerland. 34 Patient and skin condition characteristics.…”

Section: Summary Of Studies For Key Questions 1 Andmentioning

confidence: 99%

Teledermatology for diagnosis and management of skin conditions: A systematic review

Warshaw

Hillman²,

Greer³

et al. 2011

Journal of the American Academy of Dermatology

268

223

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“…Therefore, the diagnostic accuracy and reliability of teledermatology for one set of diseases (eczematous or papulosquamous) may not be equivalent to that of another set of conditions (skin neoplasms) when evaluated remotely using the same set of conditions. Preliminary teledermatology studies [3][4][5][6][7][8][9][10][11][12][13] have shown that the diagnostic agreement rates of teledermatologists and clinic dermatologists are comparable for a broad range of dermatological conditions. While agreement may be adequate for certain skin conditions, such as eczematous dermatoses, in which clinical assessment by a dermatologist (rather than a diagnostic test such as histopathology) is considered the reference standard, the evaluation of skin neoplasms (benign, premalignant, and malignant growths of the skin) presents specific challenges.…”

Section: Introductionmentioning

confidence: 99%