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Cited by 131Telemedicine and Telehealth ImplementationHealthcare Systems and TechnologyCutaneous Melanoma Detection and Management

Teledermatology: Key factors associated with reducing face-to-face dermatology visits

Landow, Shoshana M., Mateus, Ashley, Korgavkar, Kaveri, Nightingale, Deborah, Weinstock, Martin A.·2014·Journal of the American Academy of Dermatology
DOI 10.1016/j.jaad.2014.02.021
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Abstract

Teledermatology makes 3 promises: better, cheaper, and faster dermatologic care. It is "better" because, although it cannot offer as much to the patient as a traditional visit, it extends the dermatologist's reach to places and in ways not previously possible as a result of time and place limitations; it is "cheaper and faster" because it has the potential to reduce costs and increase efficiency for both patients and providers. For teledermatology to fulfill these promises, it must enable dermatologists to improve access by increasing the number of patients evaluated and treated. Increased patient access depends on maximizing a scarce resource-dermatologists' time-in part by avoiding unnecessary and time-consuming face-to-face appointments. We examined the literature to date to determine which teledermatology programs have greater or lesser success in reducing face-to-face visits. Our review highlights 4 factors that are associated with a higher number of face-to-face appointments avoided by teledermatology programs: (1) effective preselection of patients for teleconsultation, (2) high-quality photographic images, (3) dermoscopy if pigmented lesions are evaluated, and (4) effective infrastructure and culture in place to implement teleconsultation recommendations.

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Crossref · 10.1016/j.jaad.2014.02.021

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  • Factors repeatedly associated with practitioner satisfaction with tele-dermatology include effective pre-selection of patients, use of high quality images, dermoscopy for pigmented lesions, appropriate infrastructure, and access to continued educational courses.

    “Some factors have been repeatedly associated with practitioner satisfaction with tele-dermatology, including effective pre-selection of patients for tele-consultation, use of high quality images, dermoscopy for pigmented lesions, appropriate infrastructure, and access to continued educational courses (Landow et al., 2014, McFarland et al., 2013).”

    From Patient and practitioner satisfaction with tele-dermatology including Australia’s indigenous population: A systematic review of the literature (2016) · cites this paper as Landow et al., 2014

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Authors
Landow, S. M., Mateus, A., Korgavkar, K., Nightingale, D., & Weinstock, M. A.
Affiliations
  • Brown University (US)
  • Massachusetts Institute of Technology (US)
  • University of Michigan (US)
Corresponding author
Landow, Shoshana M.
ORCID
Weinstock, Martin A.
Venue
Journal of the American Academy of Dermatology
Publisher
Elsevier BV
Published
2014-09
Volume
71
Issue
3
Pages
570-576
ISSN
0190-9622 (ISSN-L)
DOI
10.1016/j.jaad.2014.02.021
OpenAlex
W2170645397
Semantic Scholar
f263a0f8db76452dc9c1e92d2970a21eda51e321
Cited by
131
References
39
Citations by year
2025: 2 · 2024: 29 · 2023: 15 · 2022: 10 · 2021: 9 · 2020: 13 · 2019: 8 · 2018: 10 · 2017: 11 · 2016: 10 · 2015: 11 · 2014: 3
FWCI
1.84
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of the American Academy of Dermatology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
  • Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
Keywords
teledermatology, teleconsultation, patient selection, photographs, dermoscopy, pigmented skin lesions, access to dermatologic care, health care costs, implementation infrastructure
MeSH terms
Appointments and Schedules, Dermatology, Humans, Office Visits, Telemedicine, Patient Selection, Remote Consultation, Dermoscopy

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