Patient and Clinician Satisfaction with a Store-and-Forward Teledermatology Consult System
Abstract
The aim of this study was to assess satisfaction with and acceptance of a store and forward teledermatology consult system among patients, referring primary-care clinicians, and consultant dermatologists. As part of a randomized clinical trial that compared the clinical and economic outcomes of store and forward teledermatology to a conventional referral process, we conducted satisfaction assessments among participating patients, referring primary-care clinicians, and consultant dermatologists. Survey questions included issues related to the timeliness of each consult process, the confidence participants displayed in each consult modality, and assessments of overall satisfaction and preferences. A majority of referring clinicians (92%) and dermatologist consultants (75%) reported overall satisfaction with the teledermatology consult process. Ninety-five percent of referring clinicians reported that teledermatology resulted in more timely referrals for their patients. This finding was validated by the observation that teledermatology patients reached a point of initial intervention significantly sooner than did patients in usual care (41 days versus 127 days, p = 0.0001). Teledermatology patients reported satisfaction with the outcome of their teledermatology consultation 82% of the time. However, patients did not express a clear preference for a consult method. A total of 41.5% of patients preferred teledermatology, 36.5% preferred usual care, and 22% were neutral. Our study showed a high level of satisfaction among all users of a store-and-forward teledermatology consult system, and, in some cases, our survey results could be validated with observed clinical outcomes.
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The screening alternatives and attribute levels were chosen based on results of three previous surveys in the target group, a literature review, and included important screening outcome, financial and convenience considerations.
“These alternatives, and the different attribute levels over which they vary, were chosen based on the results of three previous surveys undertaken in the target group [11], as well as a literature review [14, 16-22, 27, 28] and included important screening outcome, financial and convenience considerations.”
From Consumer preferences for teledermoscopy screening to detect melanoma early (2016) · cites this paper as [22]
Whited et al. found that the majority of consumers agreed they had confidence that dermatologists can diagnose teledermatology pictures and that a teledermatology consult is more convenient than going to a dermatologist clinic.
“For example, Whited et al. found that the majority of consumers agreed that they had confidence that dermatologists can diagnose teledermatology pictures and that a teledermatology consult is more convenient than going to a dermatologist clinic [22].”
From Consumer preferences for teledermoscopy screening to detect melanoma early (2016) · cites this paper as [22]
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References 11 · Cited by 110
- Authors
- Whited, J. D., Hall, R. P., Foy, M. E., Marbrey, L. E., Grambow, S. C., Dudley, T. K., Datta, S. K., Simel, D. L., & Oddone, E. Z.
- Affiliations
- Durham VA Medical Center (US)
- Venue
- Telemedicine Journal and e-Health
- Publisher
- SAGE Publications
- Published
- 2004-12
- Volume
- 10
- Issue
- 4
- Pages
- 422-431
- ISSN
- 1530-5627 (ISSN-L)
- OpenAlex
- W1969145320
- Cited by
- 110
- References
- 11
- Citations by year
- 2025: 1 · 2024: 6 · 2023: 8 · 2022: 3 · 2021: 2 · 2020: 9 · 2019: 5 · 2018: 8 · 2017: 3 · 2016: 10 · 2015: 11 · 2014: 4 · 2013: 4 · 2012: 2
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Telemedicine Journal and e-Health (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
- store-and-forward teledermatology, patient satisfaction, provider satisfaction, dermatology consultation, primary care referral, referral timeliness, patient preferences, telemedicine acceptance
- MeSH terms
- Attitude of Health Personnel, Dermatology, Hospitals, Veterans, Humans, Physicians, Family, Referral and Consultation, Social Perception, Virginia, Patient Satisfaction, Remote Consultation, Health Care Surveys
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