Teledermatology in the U.K.: lessons in service innovation

Finch, T.L.; Mair, F.S.; May, C.R.

doi:10.1111/j.1365-2133.2006.07608.x

Cited by 84Telemedicine and Telehealth ImplementationHealthcare Systems and TechnologyElectronic Health Records Systems

Teledermatology in the U.K.: lessons in service innovation

Finch, T.L., Mair, F.S., May, C.R.·2007·British Journal of Dermatology

DOI 10.1111/j.1365-2133.2006.07608.x

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Abstract

BACKGROUND: Teledermatology has the potential to revolutionize the delivery of dermatology services by facilitating access to specialist services at a distance. In the U.K. over the previous decade there have been numerous attempts at introducing and using teledermatology; however, the development of teledermatology as routine service provision remains limited. OBJECTIVES: To identify factors that promote successful use of teledermatology as a part of routine service provision. METHODS: A longitudinal qualitative study of teledermatology, drawing on data from in-depth semistructured interviews; observations of systems in practice; and public meetings. Data were analysed collectively by the research team using established qualitative analytical techniques to identify key thematic categories. The sample consisted of teledermatology services within the U.K. (n = 12) studied over 8 years (1997-2005). Individual participants (n = 68 interviews) were consultant dermatologists, researchers, teledermatology nurses, administrators, patient advocates, general practitioners and technologists. RESULTS: The analysis compared services that did or did not become part of routine healthcare practice to identify features that supported the normalization of teledermatology. Requirements for using and integrating teledermatology into practice included: political support; perceived benefit and relative commitment that outweighs effort; pragmatic approaches to proving efficacy and safety; perception of risk as being 'manageable' on the basis of professional judgement; high levels of flexibility in practice (in terms of individuals, technology and organization); and reconceptualizing professional roles. CONCLUSIONS: Successful implementation of teledermatology as a routine service requires greater understanding of and attention to the interplay between social and technical aspects of teledermatology, and how this is accommodated both by healthcare professionals and the organizations in which they work.

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Authors: Finch, T. L., Mair, F. S., & May, C. R.
Affiliations: Newcastle University (GB)
University of Glasgow (GB)
Corresponding author: Finch, T.L.
ORCID: Finch, T.L.
Mair, F.S.
May, C.R.
Venue: British Journal of Dermatology
Publisher: Oxford University Press (OUP)
Published: 2007-03
Volume: 156
Issue: 3
Pages: 521-527
ISSN: 0007-0963 (ISSN-L)
1365-2133
DOI: 10.1111/j.1365-2133.2006.07608.x
OpenAlex: W2034177801
Semantic Scholar: 6155da26538fd797551d0d69aaa0de29a9cb2ac6
Cited by: 84
References: 25
Citations by year: 2025: 1 · 2023: 3 · 2022: 1 · 2021: 8 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 7 · 2013: 4 · 2012: 6
FWCI: 7.66
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 3106 d)
Locations: British Journal of Dermatology (publishedVersion)
PubMed (publishedVersion)
ePrints Soton (University of Southampton) (submittedVersion)
Northumbria Research Link (Northumbria University) (submittedVersion)
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 › Health Professions › Health Information Management › Electronic Health Records Systems
Keywords: teledermatology, service innovation, political support, risk perception, professional roles, general practitioners, healthcare organizations, telemedicine
MeSH terms: Attitude of Health Personnel, Delivery of Health Care, Dermatology, Diffusion of Innovation, United Kingdom, Health Services Research, Humans, Longitudinal Studies, State Medicine, Telemedicine, Safety Management, Evidence-Based Medicine

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Teledermatology in the U.K.: lessons in service innovation

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