The other side of teledermatology: Patient preferences
Abstract
We studied patient preferences for a real-time teledermatology consultation or a conventional dermatology consultation. Dermatology patients were given the option of being seen by a dermatologist at their outlying primary care site via telemedicine or of being examined face-to-face by the same dermatologist at the primary care site. The same dermatologist provided the teleconsultations and the conventional consultations. During a 16-month study period, 52 patients were evaluated via telemedicine and 46 patients were seen face-to-face. The demographics for both study groups were similar. Those patients who selected telemedicine were more likely to have seen a dermatologist fewer than twice during the previous year, more likely to self-describe themselves in excellent health and more likely to choose a face-to-face evaluation when presenting with a possible skin cancer or a mole. Patients aged 56 years or less tended to be more likely to be seen via telemedicine, although the association with age was not significant (P = 0.06). This information may help providers to devise strategies to direct patients to telemedicine if and when it is appropriate.
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Patients who regularly required dermatologic care (more than twice in a 12-month period) were much more likely to pursue conventional consultations.
“Additionally, a 2007 study by Mofid et al. discovered that patients who regularly required dermatologic care (i.e., more than twice in a 12-month period) were much more likely to pursue conventional consultations.”
From Patient and practitioner satisfaction with tele-dermatology including Australia’s indigenous population: A systematic review of the literature (2016) · cites this paper as Mofid et al., 2007
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“The first was an attitudinal survey (n = 98) in California regarding the use of teledermatology.(33)”
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Marchell, R., Locatis, C. N., Burgess, G., Maisiak, R., Liu, W., & Ackerman, M. (2017) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2016.0192 · Cited by 72 · see citing works
“examinations in-person.(11,12,30) Teledermatology satisfaction studies assessing a tryout of a pilot program or an ongoing existing service usually report higher levels of satisfaction, while those directly comparing face-to-face consultations with remote methods have more varied results.”
BackgroundGlaser, M. S., Winchell, T., Plant, P., Wilbright, W., Kaiser, M., Butler, M. K., Goldshore, M. A., & Magnus, M. (2010) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2009.0169 · Cited by 55 · see citing works
“…with patient and provider satisfaction and positive care outcomes in prison settings and the general population, 1,5,7,8,10,11,13,15,16,20,28,30,31 there remain gaps in telemedicine evaluation research, many stemming from difficulties in adequate response rate and reaching providers to…”
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“While studies focusing only on teledermatology generally report higher levels of satisfaction, direct comparative studies of in-person consultations and telemedicine report mixed outcomes [26,51-56].”
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“(34) found that patients being seen for skin cancer or moles were more reluctant to use telemedicine.”
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Valeska, L., Sophie, A., Streit, M., Gantenbein, L., Müller, S., Greis, C., Navarini, A. A., & Maul, J. (2023) · doi:10.26226/m.649c5e4156241620f7b6a612
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- Authors
- Mofid, M., Nesbitt, T., & Knuttel, R.
- Affiliations
- University of California, Davis (US)
- ORCID
- Nesbitt, Thomas
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2007-07-01
- Volume
- 13
- Issue
- 5
- Pages
- 246-250
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W2051389997
- Cited by
- 19
- References
- 0
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 2 · 2021: 1 · 2020: 2 · 2017: 1 · 2016: 2 · 2015: 1
- FWCI
- 2.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (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
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- teledermatology, patient preferences, telemedicine, face-to-face consultation, dermatology consultation, primary care, skin cancer
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Dermatology, Female, Humans, Male, Middle Aged, Physician-Patient Relations, Skin Diseases, Patient Satisfaction, Remote Consultation, Videoconferencing
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