Users and Nonusers of University-Based Dermatology Services Following a Teledermatology Encounter: A Retrospective Descriptive Analysis
| Autor: | John D. Whited, Kari Martin, Louanne Chance, Karen E. Edison, Kara Braudis |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Teledermatology Adolescent Universities Hospital Departments MEDLINE Health Informatics Dermatology Telehealth Skin Diseases Young Adult Patient satisfaction Health Information Management medicine Humans Medical diagnosis Child Referral and Consultation Aged Retrospective Studies Aged 80 and over Missouri Descriptive statistics business.industry Medical record Infant Newborn Infant Retrospective cohort study General Medicine Middle Aged Telemedicine Patient Satisfaction Child Preschool Female business |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 1556-3669 1530-5627 |
| DOI: | 10.1089/tmj.2010.0098 |
| Popis: | The aim of this study was to retrospectively describe hybrid technology teledermatology encounters performed by a statewide telehealth network. Consult outcomes were reviewed to describe the number of encounters that resulted in a visit to the university-based dermatology clinics and the features of those visits.Teledermatology encounters were reviewed to determine encounter volume and the proportion of encounters that resulted in a university-based dermatology clinic visit. Additional information collected included demographics, the reason for the visit, management recommendations, and clinical diagnoses. After identifying those consults that resulted in a dermatology clinic visit, we reviewed a random sample of teledermatology encounters that did not result in a university-based dermatology clinic visit for a descriptive comparison.A total of 1,536 teledermatology encounters were completed by the network between 2001 and 2007. Of the 1,307 encounters reviewed, 56 patients were seen in the university-based dermatology clinic after the teledermatology encounter. The need for a procedure or clinic-based intervention was a reason for the visit in 79% of these encounters. When reviewing management recommendations, 46% of the patients who required a university-based clinic visit needed a procedural intervention compared with 8% of the group that did not need a clinic visit. Medical recommendations predominated in the telemedicine-only group (71%) compared with the clinic-based visit group (36%).Our study describes the features, such as demographics and case-mix, of users and nonusers of university-based dermatology clinics after teledermatology encounters that may be important considerations for future evaluations of teledermatology consult systems. |
| Databáze: | OpenAIRE |
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