Design Requirements for a Teledermatology Scale-up Framework
Open accessAbstract
The value proposition of full-scale teledermatology is evidenced in the literature. The public health sector of South Africa’s KwaZulu-Natal province began synchronous teledermatology in 2003, followed by spontaneous asynchronous (mobile) teledermatology in 2013. No scale-up has been formally planned. This paper establishes design requirements that will inform the identification or de novo development of a teledermatology scale-up framework. Methods: A requirements definition process with inductive reasoning approaches was applied. Analysis of semi-structured interviews (19) with key teledermatology stakeholders (17) and observations from two teledermatology programmes, informed by lessons learned from prior teledermatology implementation attempts, eHealth scale-up literature and authors’ expert opinion, led to identification of Themes, and iterative reflection gave rise to Categories and Requirements. Results: Teledermatology scale-up framework design requirements emerged comprised of themes (4), categories (12), and specific design requirements (30). Discussion: This paper describes a process and resulting evidence-based (stakeholder interviews; programme observations; literature) and experience-based (expert opinion) design requirements to inform the identification and adoption / adaptation or de novo development of a teledermatology scale-up framework (TDSF) for KwaZulu-Natal’s public health sector. The proposed approach is recommended as a pre-requisite for scaling, including in other settings and for other telehealth applications.
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Ideally, multiple sources of data should be combined, such as scientific literature and qualitative data collected from multiple types of stakeholders.
“Ideally, multiple sources of data should be combined, such as scientific literature and qualitative data collected from multiple types of stakeholders”
From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [114]
Authors stated that requirements should be elicited in a systematic way.
“First of all, authors stated that requirements should be elicited in a systematic way.”
From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [114]
Cites
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Self-citationTeledermatology by videoconference: Experience of a pilot project
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Methods for Human-Centered eHealth Development: Narrative Scoping Review
Kip, H., Keizer, J., da Silva, M. C., Beerlage-de Jong, N., Köhle, N., & Kelders, S. M. (2022) · Journal of Medical Internet Research · doi:10.2196/31858 · Cited by 67 · see citing works
Methods for Human-Centered eHealth Development: Narrative Scoping Review (Preprint)
Kip, H., Keizer, J., da Silva, M. C., Beerlage-de Jong, N., Köhle, N., & Kelders, S. M. (2021) · doi:10.2196/preprints.31858 · Cited by 67 · see citing works
- Authors
- Walters, L. E., Scott, R. E., & Mars, M.
- Affiliations
- University of Calgary (CA)
- University of KwaZulu-Natal (ZA)
- Venue
- South African Computer Journal
- Published
- 2018-07-10
- Volume
- 30
- Issue
- 1
- ISSN
- 1015-7999 (ISSN-L)
- 2313-7835
- OpenAlex
- W2847216809
- Cited by
- 5
- References
- 15
- Citations by year
- 2026: 1 · 2021: 1 · 2019: 2 · 2018: 1
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- South African Computer Journal (publishedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- teledermatology, design requirements, telehealth implementation, public health sector, KwaZulu-Natal, stakeholder needs
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