Enablers and barriers in upscaling telemonitoring across geographic boundaries: a scoping review.

Introduction And Objective: Telemonitoring is a method to monitor a person's vital functions via their physiological data at distance, using technology. While pilot studies on the proposed benefits of telemonitoring show promising results, it appears challenging to implement telemonitoring on a larger scale. The aim of this scoping review is to identify the enablers and barriers for upscaling of telemonitoring across different settings and geographical boundaries in healthcare.

A cost minimisation analysis in teledermatology: model-based approach.

Background: Although store-and-forward teledermatology is increasingly becoming popular, evidence on its effects on efficiency and costs is lacking. The aim of this study, performed in addition to a clustered randomised trial, was to investigate to what extent and under which conditions store-and-forward teledermatology can reduce costs from a societal perspective.

Methods: A cost minimisation study design (a model based approach) was applied to compare teledermatology and conventional process costs per dermatology patient care episode.

Teledermatologic consultation and reduction in referrals to dermatologists: a cluster randomized controlled trial.

Objective: To determine whether teledermatologic consultations can reduce referrals to a dermatologist by general practitioners (GPs).

Design: Multicenter cluster randomized controlled trial.

Setting And Participants: We recruited 85 GPs from 35 general practices in 2 regions in the Netherlands (Almere and Zeist); 5 dermatologists from 2 nonacademic hospitals were also included in the study.

Evaluation of general practitioner's time investment during a store-and-forward teledermatology consultation.

Background/objective: Introduction of teledermatology in general practice changes responsibilities and workloads of general practitioners (GPs) and dermatologists. We investigated the time investment of GPs as well as the relative share of the separate teledermatology activities during a store-and-forward teledermatology consultation.

Methods: Sixty-four teledermatology consultations (eight GPs x eight patients) were conducted in a laboratory setting.

Maturity of teledermatology evaluation research: a systematic literature review.

Background: There is a growing interest in teledermatology in today's clinical practice, but the maturity of the evaluation research of this technology is still unclear.

Objectives: This systematic review describes the maturity of teledermatology evaluation research over time and explores what kind of teledermatology outcome measures have been evaluated.

Methods: Systematic review of literature found in Medline database (1966 up to April 2006).