Pediatric Teledermatology: A Survey of Usage, Perspectives, and Practice
Abstract
Pediatric dermatology is one of the smallest subspecialties, and expanding the availability of care is of great interest. Teledermatology has been proposed as a way to expand access and improve care delivery, but no current assessment of pediatric teledermatology exists. The objective of the current study was to assess usage and perspectives on pediatric teledermatology. Surveys were distributed electronically to all 226 board‐certified U.S. pediatric dermatologists; 44% (100/226) responded. Nearly all respondents (89%) have experience with teledermatology. Formal teledermatology reimbursement success rates have increased to 35%. Respondents were positive about teledermatology's present and future prospects, and 41% want to use teledermatology more often, although they viewed teledermatology as somewhat inferior to in‐person care regarding accuracy of diagnosis and appropriation of management plans. Significant differences were found between formal teledermatology users and nonusers in salary structure, practice environment, sex, and region. Substantial increases in pediatric teledermatology have occurred in the last 5 to 10 years, and there remains cause for optimism for teledermatology's future. Concerns about diagnostic confidence and care quality indicate that teledermatology may be best for care of patients with characteristic clinical presentations or management of patients with established diagnoses.
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Pediatric dermatologists appear to be highly interested in teledermatology.
“Pediatric dermatologists also appear to be highly interested in teledermatology.10”
From Diagnostic Accuracy of Pediatric Teledermatology Using Parent-Submitted Photographs: A Randomized Clinical Trial (2017) · cites this paper as [10]
Enhancements in smartphones have made photographs submitted by parents increasingly viable for teledermatology diagnosis.
“Enhancements in smartphones (eg, optics, storage, encryption, image processing, and data transmission) have made photographs submitted by parents increasingly viable for teledermatology diagnosis.10,11”
From Diagnostic Accuracy of Pediatric Teledermatology Using Parent-Submitted Photographs: A Randomized Clinical Trial (2017) · cites this paper as [10]
Cites
Teledermatology for diagnosis and management of skin conditions: A systematic review
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“patients (6,8), and lower resource utilization (4,9).”
BackgroundThe US dermatology workforce: a specialty remains in shortage.
Kimball, A. B., & Resneck, J. S. (2008) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2008.06.037 · Cited by 257 · see citing works
Assessment of the accuracy of low-cost store-and-forward teledermatology consultation
High, W. A., Houston, M. S., Calobrisi, S. D., Drage, L. A., & McEvoy, M. T. (2000) · Journal of the American Academy of Dermatology · doi:10.1067/mjd.2000.104519 · Cited by 183 · see citing works
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Patient and referring provider satisfaction with teledermatology
Weinstock, M. A., Nguyen, F. Q., & Risica, P. M. (2002) · Journal of the American Academy of Dermatology · doi:10.1067/mjd.2002.119666 · Cited by 120 · see citing works
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“01 Female 19 (25) Geographic region, n (%) West 13 (54) 0.”
ResultPractice Guidelines for Teledermatology
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“Pilot studies indicate that teledermatology can increase access to care of underserved populations (2).”
BackgroundInfluential
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O’Connor, D. M., Jew, O. S., Perman, M. J., Castelo-Soccio, L. A., Winston, F. K., & McMahon, P. J. (2017) · JAMA Dermatology · doi:10.1001/jamadermatol.2017.4280 · Cited by 89 · see citing works
Usability, Acceptability, and Impact of a Pediatric Teledermatology Mobile Health Application
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Pediatric teledermatology: A review of the literature
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Teledermatology: Kids are not just little people
Naka, F., Makkar, H., & Lu, J. (2017) · Clinics in Dermatology · doi:10.1016/j.clindermatol.2017.08.009 · Cited by 29 · see citing works
Janda, M., Horsham, C., Koh, U., Gillespie, N., Vagenas, D., Loescher, L. J., Curiel-Lewandrowski, C., Hofmann-Wellenhof, R., & Peter Soyer, H. (2019) · DIGITAL HEALTH · doi:10.1177/2055207619828225 · Cited by 26 · see citing works
- Authors
- Fogel, A. L., & Teng, J. M. C.
- Affiliations
- Stanford University (US)
- Corresponding author
- Teng, Joyce M. C.
- Venue
- Pediatric Dermatology
- Publisher
- Wiley
- Published
- 2015-02-18
- Volume
- 32
- Issue
- 3
- Pages
- 363-368
- ISSN
- 0736-8046 (ISSN-L)
- 1525-1470
- OpenAlex
- W2164030177
- Cited by
- 47
- References
- 9
- Citations by year
- 2026: 6 · 2024: 6 · 2023: 9 · 2022: 3 · 2021: 3 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 3
- FWCI
- 4.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pediatric 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 › Public Health, Environmental and Occupational Health › Digital Imaging in Medicine
- Keywords
- telemedicine, health care access, physician attitudes, reimbursement, diagnostic accuracy, quality of care, physician characteristics, telehealth adoption
- MeSH terms
- Dermatology, Humans, Surveys and Questionnaires, Reimbursement Mechanisms, United States, Telemedicine, Videoconferencing
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