Better, sooner, more convenient: A successful teledermoscopy service
Open accessAbstract
Background/Objectives: A virtual lesion clinic (VLC) using store‐and‐forward teledermoscopy was introduced to reduce waiting times and improve access for skin lesion assessment by dermatologists. We aimed to review the efficiency and patient acceptance of a new community‐based teledermoscopy service by comparing it to hospital‐based face‐to‐face (FTF) skin lesion clinics. Methods: A prospective study compared patient flow through a community‐based VLC and a tertiary hospital FTF dermatology clinic. Surveys were sent to patients and their referring doctors after attendance. Waiting times, diagnosis, outcomes, financial costs, patient acceptability and convenience were compared. Results: A total of 300 patients were assessed; 200 were seen in the VLC and 100 in the conventional FTF clinic. Of the 200 patients seen in the VLC, 88% did not require a subsequent FTF clinic assessment to establish the diagnosis. Mean waiting times for first assessment were reduced by two thirds (from 114 days to 39 days) in those seen by the VLC compared to FTF. Financial analysis demonstrated cost savings of 14%. Surveyed patients were highly satisfied and confident in the VLC service. Conclusions: A community‐based teledermoscopy service may allow improved management of outpatient referrals while providing a better, quicker and more convenient service. It may also provide cost savings, as teledermoscopy assessment can be cheaper than traditional assessment.
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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 [19]
Many of the results supporting the importance of particular attributes in this study are in concordance with previous literature on consumer satisfaction with teledermoscopy or teledermatology.
“Many of the results found supporting the importance of particular attributes in this study are in concordance with the previous literature focusing on consumer satisfaction with teledermoscopy or teledermatology more broadly [14,18,19,27,28].”
From Consumer preferences for teledermoscopy screening to detect melanoma early (2016) · cites this paper as [19]
Asynchronous tele-dermatology is significantly more convenient than synchronous tele-dermatology because the treating dermatologist has discretion to schedule an appropriate consultation time.
“Asynchronous tele-dermatology is considered significantly more convenient than synchronous because the treating dermatologist has the discretion to schedule an appropriate consultation time (Lim et al., 2012).”
From Patient and practitioner satisfaction with tele-dermatology including Australia’s indigenous population: A systematic review of the literature (2016) · cites this paper as Lim et al., 2012
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- Authors
- Lim, D., Oakley, A. M., & Rademaker, M.
- Affiliations
- Waikato Hospital (NZ)
- Corresponding author
- Oakley, Amanda MM
- Venue
- Australasian Journal of Dermatology
- Publisher
- Wiley
- Published
- 2011-12-29
- Volume
- 53
- Issue
- 1
- Pages
- 22-25
- ISSN
- 0004-8380 (ISSN-L)
- 1440-0960
- OpenAlex
- W1523521122
- Cited by
- 79
- References
- 8
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 4 · 2023: 11 · 2022: 5 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 5 · 2017: 7 · 2016: 5 · 2015: 11 · 2014: 6 · 2013: 6 · 2012: 1
- FWCI
- 4.03
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Australasian Journal of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- ResearchSpace (University of Auckland) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- teledermoscopy, store-and-forward telemedicine, skin lesion assessment, waiting time, patient satisfaction, cost reduction
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Community Health Services, Female, Health Services Accessibility, Health Services Research, Hospital Departments, Humans, Male, Middle Aged, Prospective Studies, Referral and Consultation, Skin Diseases, Waiting Lists, Patient Satisfaction, Telemedicine, Dermoscopy, Young Adult
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