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OS26 - Telehealth in Action (ID 42)
- Event: e-Health 2019 Virtual Meeting
- Type: Oral Session
- Track: Clinical and Executive
- Presentations: 1
- Coordinates: 5/28/2019, 02:30 PM - 03:30 PM, Pod 5
OS26.04 - Intra-institutional Teledermatology: Results of a mixed methods case study (ID 84)
Historically, teledermatology?s benefits have been mostly realized through improved access to rural or underserviced areas. This study examines the benefits and the overall impact of teledermatology in an urban, intra-institutional environment.
A store-and-forward teledermatology service was created between family medicine practitioners and a consultant dermatologist in the same urban ambulatory ?intra-institutional? hospital. Mixed methods analysis was then applied to chart reviews, electronic surveys to clinicians and patients, and semi-structured interviews with referring providers and dermatologists within a framework developed from the Canada Health Infoway Benefits Evaluation. Survey questions were designed to assess benefit quantitatively and interviews were subjected to qualitative thematic analysis. The final results were tabulated, triangulated, and compared against existing literature.
84.2% of the 76 consultations reviewed over 18 months of service were manageable solely with teledermatology. Subgroup analysis revealed that skin ?lesions? had a much lower success rate ? with 40.9% requiring transition to an in-person consult, as opposed to skin ?rashes,? of which 94.3% were manageable through teledermatology. All patients agreed they would use the service again. Cited benefits included savings in time, money, and missed work. Referring providers were satisfied with service reliability, timeliness and quality of responses, and the educational value of the consult opinions, but it did increase their administrative time.
Patients were satisfied with intra-institutional teledermatology and felt it saved them time, money, and prevented them from missing work. Providers were similarly satisfied despite the increased administrative burden. This study demonstrates strong benefits of teledermatology even when used in populations that are not underserviced or geographically restricted. Future research should include assessments of cost-effectiveness and the impact of teledermatology services targeted exclusively at subgroups such as rashes.
140 Character Summary:
Intra-institutional teledermatology helped patients save time and money and providers were highly satisfied with the service.
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