Primary care provider and imaging technician satisfaction with a teledermatology project in rural Veterans Health Administration clinics
Abstract
Objective: Assessment of a multisite rural teledermatology project between 2009 and 2012 in four Pacific Northwest states that trained primary care providers and imaging technicians in state-of-the-art techniques of telemedicine. Materials and Methods: In 2012, we assessed provider and imaging technician acceptability and satisfaction with a 32-item survey instrument based on the Patient Satisfaction Questionnaire developed by Ware et al. ( Eval Program Plann 1983; 6:247–63) and modified for telemedicine by Kraai et al. ( J Card Fail 2011; 17:684–690). Survey questions covered eight satisfaction domains: interpersonal manner, technical quality, accessibility, finances, efficacy, continuity, physical environment, and availability. Results: Overall, 71% of the primary care providers and 94% of the imaging technicians reported being satisfied or extremely satisfied with the teledermatology project. Most (95%) providers found the continuing education classes on dermatology diagnosis and treatment topics useful, and 86% reported teledermatology was a good addition to regular patient services. Most (97%) of the imaging technicians were satisfied with the ability of teledermatology to improve the description of dermatology conditions using images of the lesions or rashes, and 91% were satisfied with the convenience of teledermatology. Challenges reported by both providers and imaging technicians include an increase in workload due to more patient visits related to dermatology care and limited information technology support. Conclusions: Given the Veterans Health Administration's initiatives to promote accessible health care to underserved Veterans using telehealth, these findings can inform future program designs for teledermatology.
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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 McFarland et al., 2013
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- Authors
- McFarland, L. V., Raugi, G. J., & Reiber, G. E.
- Affiliations
- University of Washington (US)
- Health Services Research & Development (US)
- Corresponding author
- McFarland, Lynne V.
- ORCID
- McFarland, Lynne V.
- Venue
- Telemedicine and e-Health
- Publisher
- SAGE Publications
- Published
- 2013-11
- Volume
- 19
- Issue
- 11
- Pages
- 815-825
- ISSN
- 1530-5627 (ISSN-L)
- 1556-3669
- OpenAlex
- W2001333129
- Semantic Scholar
- 71c9e2d93f9c5269c9620a49cb3ba68c4c325a1b
- Cited by
- 48
- References
- 36
- Citations by year
- 2024: 1 · 2023: 6 · 2022: 3 · 2021: 2 · 2020: 5 · 2019: 7 · 2018: 3 · 2017: 4 · 2016: 10 · 2015: 5 · 2014: 2
- FWCI
- 5.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Telemedicine Journal and e-Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Health Services Research and Development
- Office of Rural Health
- 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 › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
- Keywords
- teledermatology, telemedicine, primary care providers, provider satisfaction, rural health care, Veterans Health Administration, continuing medical education, dermatological diagnosis
- MeSH terms
- Adult, Attitude of Health Personnel, Dermatology, Female, Health Services Accessibility, Hospitals, Veterans, Humans, Male, Primary Health Care, Surveys and Questionnaires, Rural Population, Technology, Radiologic, United States, United States Department of Veterans Affairs, Veterans, Northwestern United States, Telemedicine, Rural Health Services, Remote Consultation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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