90 results match your criteria: "Interactive Teledermatology"
A review of consent policies in Dermatological Surgery in the United Kingdom and the impact of leaner pathways and teledermatology on consent.
Clin Exp Dermatol
November 2024
Department of Dermatology, Walsall Healthcare NHS Trust, UK.
Obtaining valid consent is an ethical and legal requirement in clinical practice, ensuring patients are adequately informed about their treatments. Recent updates in consent policies, including GMC guidance, the Patterson inquiry report, and key legal rulings like Montgomery, emphasise a shift towards patient-centred care and the importance of a comprehensive patient-clinician dialogue. Budget constraints and increasing NHS demand have led to the adoption of digital solutions and streamlined pathways, such as teledermatology and direct booking to surgery, potentially compromising the consent process.
View Article and Find Full Text PDFBridging the gap through telemedicine: Pilot study on the acceptance and use of teledermatology for urticaria.
J Dtsch Dermatol Ges
October 2024
Department of Dermatology and Allergy, Technical University of Munich, School of Medicine and Health, Munich, Germany.
Background: Chronic spontaneous urticaria (CSU) significantly impairs patients' quality of life. Despite advances in diagnosis and therapy, treatment is still unsatisfactory. Telemedicine offers a promising solution to improve treatment.
View Article and Find Full Text PDFAssessing the Impact of ChatGPT in Dermatology: A Comprehensive Rapid Review.
J Clin Med
October 2024
Department of Ophthalmology, University of Warmia and Mazury, 10-719 Olsztyn, Poland.
: The use of artificial intelligence (AI) in dermatology is expanding rapidly, with ChatGPT, a large language model (LLM) from OpenAI, showing promise in patient education, clinical decision-making, and teledermatology. Despite its potential, the ethical, clinical, and practical implications of its application remain insufficiently explored. This study aims to evaluate the effectiveness, challenges, and future prospects of ChatGPT in dermatology, focusing on clinical applications, patient interactions, and medical writing.
View Article and Find Full Text PDFDiagnosing skin neglected tropical diseases with the aid of digital health tools: A scoping review.
PLOS Digit Health
October 2024
Department of Health, Ethics & Society, Care and Public Health Research Institute (CAPHRI)/MHeNs School for Mental Health and Neuroscience, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Article Synopsis
- Delays in diagnosing skin neglected tropical diseases (NTDs) hinder timely treatment, emphasizing the need for better diagnostic solutions, especially in resource-poor areas.
- Recent advancements in digital health, such as mobile apps and telemedicine, show potential for improving access to diagnosis and supporting healthcare providers at the community level.
- However, challenges including data security, infrastructure issues, and the need for more research on diagnostic accuracy remain significant barriers to effective implementation of these digital health tools.
An Exploration of Dutch Dermatologists' Experience and Satisfaction With Teledermatology: Sociotechnical and Complex Adaptive System Perspective.
JMIR Dermatol
July 2024
Department of Medical Informatics, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands.
Article Synopsis
- The study explores the experiences and satisfaction of Dutch dermatologists with teledermatology during the COVID-19 pandemic, highlighting barriers like poor photo quality and anamnesis that affect its effectiveness.
- A web-based questionnaire was distributed to gather feedback from dermatologists who used teledermatology, focusing on their training, communication, and usage.
- Results indicated that while a majority of dermatologists responded positively to teledermatology, there remains a need for improvements to enhance the service's effectiveness in the healthcare system.
Hybrid care potential of teledermatology: The importance of linking digital and physical practice and acceptance of online services: A cross-sectional study.
Health Sci Rep
July 2024
OnlineDoctor 24 GmbH Hamburg Germany.
Article Synopsis
- Telemedicine, particularly teledermatology, has gained importance in modern healthcare, especially highlighted during the COVID-19 pandemic, focusing on improving access to dermatological care.
- A cross-sectional survey of 1,141 users from July 2022 to March 2023 showed that many participants had not seen a dermatologist recently, with a significant portion (77.6%) preferring teledermatology for future skin concerns due to shorter wait times.
- The findings suggest that while teledermatology offers benefits like increased accessibility, a combination of digital and in-person consultations is crucial for optimal patient care.
Atopic Dermatitis Disease Education.
Adv Exp Med Biol
May 2024
Department of Dermatology, The Mount Sinai Hospital, New York, NY, USA.
There has been an influx of new educational resources for atopic dermatitis (AD) patients in recent years. The two primary organizations in the United States offering educational materials, online resources, and other forms of support include the National Eczema Association (NEA) and the American Academy of Dermatology (AAD). Educational workshops and interventions have emerged as tools that can deliver comprehensive information on AD, such as symptoms, treatments, and disease management.
View Article and Find Full Text PDFPatient-Centered Chronic Wound Care Mobile Apps: Systematic Identification, Analysis, and Assessment.
JMIR Mhealth Uhealth
March 2024
Department of Dermatology, Venereology and Allergology, University Hospital Würzburg, Würzburg, Germany.
Article Synopsis
- The study investigates the rising issue of chronic wounds, especially in aging populations, and the increasing need for effective care, which could become costly and resource-intensive.
- Researchers aimed to systematically identify and assess mobile apps designed for chronic wound patients, examining their quality from both patient and physician perspectives.
- Out of 118 apps identified, only 3 met the study criteria; they received varied quality scores from physicians and patients, indicating a need for better support systems in managing chronic wounds.
Patient and Clinician Satisfaction in Teledermatology: Key Factors for Successful Implementation.
Curr Dermatol Rep
December 2023
Department of Dermatology, Emory University School of Medicine, Atlanta, GA.
Article Synopsis
- * Patient satisfaction is influenced by factors like care quality, technical performance, and accessibility, while clinician satisfaction is affected by care quality, communication, and financial issues.
- * Evaluating satisfaction across different teledermatology models (store-and-forward, live interactive, hybrid) is crucial for ensuring high-quality care and fostering the acceptance of teledermatology as an effective option in dermatologic services.
Teledermatology Practice in a Department that Was Relocated Multiple Times during the COVID-19 Pandemic.
Clin Cosmet Investig Dermatol
February 2024
Dermatology Department, "Sfânta Cuvioasa Parascheva" Clinical Hospital of Infectious Diseases, Galati, Romania.
Article Synopsis
- - The COVID pandemic has significantly affected Dermatology practices, pushing them to adopt teledermatology to minimize in-person visits and streamline patient care.
- - Teledermatology allows for live consultations where resident physicians gather detailed patient histories, followed by case discussions with senior physicians that enhance learning and care quality.
- - Building international collaborations through teledermatology can lead to quicker and more accurate diagnoses for patients, even those who are away due to work or travel.
Positive perceptions of virtual didactics during the COVID-19 pandemic: a survey of dermatology residents' satisfaction, perception of efficacy and preferences.
Clin Exp Dermatol
April 2024
Department of Dermatology, University of Michigan, Ann Arbor, MI, USA.
Article Synopsis
- The study examined dermatology residents' attitudes towards virtual didactics introduced during the COVID-19 pandemic, focusing on their satisfaction, perceived effectiveness, and preferences.
- A significant portion of respondents reported satisfaction (77%), with 58% finding virtual didactics effective and 46% preferring this format, influenced by factors such as engagement and high-quality materials.
- The advantages of virtual sessions included convenience and access to guest lecturers, while drawbacks included distractions and reduced social interaction, suggesting virtual didactics could remain in dermatology education moving forward.
Impact of Digital Media on the Patient Journey and Patient-Physician Relationship Among Dermatologists and Adult Patients With Skin Diseases: Qualitative Interview Study.
J Med Internet Res
September 2023
Department of Dermatology and Allergy, School of Medicine, Technical University of Munich, Munich, Germany.
Article Synopsis
- Digital media are widely used by patients for health-related purposes, but their impact on the patient journey and patient-physician relationships needs more exploration.
- A qualitative study involving 28 interviews with dermatologists and patients was conducted to understand their experiences with digital media in medical contexts.
- Eight key areas were identified from the interviews, including diagnosis searches, digital media use before consultations, exchanges with other patients, self-treatment, and the dynamics of patient-physician interactions.
Rapid Expansion of a Teledermatology Web Application for Digital Dermatology Assessment Necessitated by the COVID-19 Pandemic: Retrospective Evaluation.
JMIR Dermatol
July 2023
Stirling Community Hospital, Stirling, United Kingdom.
Article Synopsis
- The COVID-19 pandemic prompted a shift to digital outpatient care in dermatology, leading to the creation of a new asynchronous consultation platform with NHS teams in Scotland.
- The platform, integrated with existing medical systems, allows patients to submit information and images instead of attending in-person consultations, which gained traction during the initial lockdown.
- Evaluation of 405 consultations showed high patient satisfaction (82.1%), reduced consultation times, improved access, and significant travel savings, confirming the value of digital assessments in the post-pandemic healthcare landscape.
Patient Factors Associated With Teledermatology Visit Type and Submission of Photographs During the COVID-19 Pandemic: Cross-sectional Analysis.
JMIR Dermatol
November 2022
Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Article Synopsis
- The COVID-19 pandemic accelerated the use of teledermatology, leading to a continued reliance on virtual dermatology appointments over traditional in-person visits.
- This study aimed to identify patient demographics and factors affecting participation in teledermatology, particularly in terms of using photographs versus other methods.
- Analysis of data from 5,717 patients revealed that a majority preferred video over phone visits, but only about 31.75% submitted photographs; those who did were predominantly White, had better insurance and income, and were more likely to have access to technology.
Advancing Dermatological Care: A Comprehensive Narrative Review of Tele-Dermatology and mHealth for Bridging Gaps and Expanding Opportunities beyond the COVID-19 Pandemic.
Healthcare (Basel)
July 2023
Centre Tisp, Istituto Superiore di Sanità, 00161 Rome, Italy.
Article Synopsis
- * The study conducted a review of the last three years by analyzing relevant publications to assess opportunities, perspectives, and challenges related to TD integration with mHealth, revealing benefits like improved monitoring, reduced in-person visits, and greater patient empowerment through AI and mobile apps.
- * Despite these advantages, implementing TD with mHealth poses challenges including regulatory concerns, ethics, cybersecurity, data privacy, and device management, requiring ongoing collaboration between scholars, policymakers, and citizens.
Evolving teledermatology policy and reimbursement landscape in the United States.
JAAD Int
June 2023
Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Article Synopsis
- Policymakers are reassessing temporary telehealth policies from the COVID-19 era, which will affect future teledermatology use.* -
- Key changes included payment parity, relaxed site and licensure requirements, but waivers will end after 151 days post-public health emergency, and asynchronous telehealth remains unreimbursed.* -
- Dermatologists need to keep updated on policy changes, provide evidence of teledermatology's value, and advocate for long-term accessibility for patients.*
Patient Satisfaction in Teledermatology: an Updated Review.
Curr Dermatol Rep
January 2023
Department of Dermatology, University of Connecticut Health Center, Farmington, CT USA.
Article Synopsis
- Teledermatology is becoming more popular worldwide, and understanding patient satisfaction is key for dermatologists to effectively integrate it into care.
- Recent studies show an uptick in patient satisfaction with live-video teledermatology, particularly following the COVID-19 pandemic, though challenges like technical issues and privacy concerns still exist.
- Addressing disparities in experiences across different demographics and enhancing education and technology investments are essential for improving teledermatology outcomes in the future.
Diagnostic and treatment concordance in primary care participants and dermatologists utilizing Extension for Community Health Outcomes (ECHO).
J Telemed Telecare
September 2024
Department of Dermatology, University of Missouri, Columbia, MO, USA.
Article Synopsis
- Access to dermatologic care is limited by patient location and insurance, affecting the quality and timeliness of diagnosis and treatment for patients, particularly in rural and underserved areas.
- The study analyzed data from the Dermatology ECHO project to evaluate how participation influenced primary care providers' accuracy in diagnoses and treatment plans, involving 524 patient cases over multiple years.
- Findings revealed less than 40% diagnostic concordance with an expert panel, highlighting a significant issue where over 33% of patients were misdiagnosed, emphasizing the need for increased use of tele-dermatology models to improve access and care quality.
Article Synopsis
- Studies show that telemedicine adoption varies among dermatologists in the U.S., potentially worsening healthcare access inequalities.
- A survey of 338 dermatologists revealed that academic and less experienced doctors were much more likely to adopt teledermatology before and after COVID-19.
- Although pre-COVID adopters used teledermatology more frequently for patient visits, they anticipate reducing its use in the future compared to those who adopted it post-COVID.
A Rejected Hypothesis: Phenomenon of High Treatment Adherence in Direct-to-Consumer Teledermatology Despite Lack of Direct Physician-Patient Interaction.
Telemed J E Health
July 2023
Wellster Healthtech Group, Munich, Germany.
Article Synopsis
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When Virtual Assistants Meet Teledermatology: Validation of a Virtual Assistant to Improve the Quality of Life of Psoriatic Patients.
Int J Environ Res Public Health
November 2022
Aragón Institute of Engineering Research (I3A), University of Zaragoza, 50018 Zaragoza, Spain.
Article Synopsis
- * A survey of 34 participants demonstrated notable improvements in the quality of life scores, with significant reductions in symptoms and overall usability ratings showing the system's reliability.
- * Patients found the virtual assistant helpful, leading to 52 medical consultations, and the study highlighted a slight increase in treatment adherence, suggesting the system provides security and better access to healthcare.
Application of an Interactive Diagnosis Ranking Algorithm in a Simulated Vignette-based Environment for General Dermatology.
Dermatol Pract Concept
July 2022
Department of Dermatology, Medical University of Vienna, Vienna, Austria.
Article Synopsis
- Diagnostic algorithms can help reduce bias and improve agreement in clinical decisions, especially in tele-dermatology settings.
- A study tested a questionnaire-based algorithm with five raters of varying expertise, focusing on how well it performed in identifying common skin diseases.
- Results showed that board-certified dermatologists had significantly better accuracy in diagnosis rankings compared to residents, particularly when questions about morphology were involved, highlighting the need for more training for less experienced users.
Telehealth modulation and new proposals during the Covid-19 pandemic: a literature review.
Clin Ter
September 2022
Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, Section of Legal Medicine, University of Palermo, Palermo, Italy.
Article Synopsis
- - The Covid-19 pandemic has significantly transformed healthcare by accelerating the use of telemedicine, with various specialties like telecardiology and teleradiology playing crucial roles in patient care and diagnosis.
- - Electronic Health Records and Artificial Intelligence have enhanced the monitoring and treatment of Covid-19 patients, allowing for faster diagnoses and reducing the strain on healthcare systems.
- - Despite the growth of telemedicine, it is still considered a complementary approach rather than a replacement for traditional healthcare, with mobile health technologies facilitating patient data collection and remote consultations.
Investigating the relationship between consultation length and quality of tele-dermatology E-consults in China: a cross-sectional standardized patient study.
BMC Health Serv Res
September 2022
Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China.
Article Synopsis
- This study investigates the impact of consultation length in E-consults on the quality of care, filling a research gap in this emerging healthcare modality.
- It uses various indicators to measure both consultation length (like response times and word counts) and service quality (adherence to guidelines, diagnosis accuracy, and patient satisfaction).
- Results show that quicker responses and longer consultation times are linked to better patient outcomes, including higher satisfaction and more effective treatment recommendations.
An Audit and Survey of Informal Use of Instant Messaging for Dermatology in District Hospitals in KwaZulu-Natal, South Africa.
Int J Environ Res Public Health
June 2022
Department of TeleHealth, School of Nursing & Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban 4041, South Africa.
Article Synopsis
- Spontaneous smartphone use in KwaZulu-Natal has increased access to dermatological care, but raises various legal, regulatory, and ethical concerns.
- A study investigated WhatsApp communications between doctors and dermatologists, focusing on referral reasons, satisfaction levels, and knowledge of ethical guidelines.
- Results showed widespread use of WhatsApp for teledermatology but a lack of awareness and adherence to legal standards, leading to recommendations for formalizing the practice.