| Autor: |
Justin, Marson, Maham, Ahmad, Graham, Litchman, Danny, Zakria, Sara, Perkins, Darrell, Rigel |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Journal of Drugs in Dermatology. 22:101-104 |
| ISSN: |
1545-9616 |
| DOI: |
10.36849/jdd.7169 |
| Popis: |
Studies suggest potential heterogeneity in telemedicine adoption with potential to exacerbate healthcare access inequity.A pre-validated survey was electronically sent to a proprietary listserv of practicing US-based dermatologists. Results were stratified by when teledermatology was adopted. Chi-square and odds ratios (OR) with 95% confidence intervals (95%CI) were used to analyze categorical data while single-factor ANOVA with posthoc Tukey-Kramer was used for continuous data.338 practicing US-based dermatologists completed the questionnaire. Academic/Government dermatologists were 4-times more likely (OR 4.08, 95%CI 2.37-7.03) to adopt teledermatology pre-COVID than private-practice dermatologists. Dermatologists withle;10 years of experience were 1.8-times (OR 1.8, 95%CI 1.01-3.18) and 2.82-times more likely (OR 2.82, 95%CI 0.78-10.25) to adopt teledermatology pre-COVID-19 or at all, respectively, compared to dermatologists withge;20 years of experience. Teledermatology adopters practiced more medical-dermatology (Plt;.0001) than non-adopters, who reported practicing more dermatologic surgery (P=.003; Tukey-Krameralpha;lt;.05) and dermatopathology (Plt;.0001; Tukey-Krameralpha;lt;.05). Pre-COVID-19 adopters were 4-times more likely (OR 4.69, 95%CI 1.46-15.07) to switch/incorporate live-interactive-only teledermatology (LI) post-COVID-19. Post-COVID-19 adopters were 6-times more likely (OR 6.09, 95%CI 3.36-11.06) to utilize LI than Pre-COVID-19 adopters. Pre-COVID-19 adopters use teledermatology for a larger proportion of patient visits than Post-COVID-19 adopters (19.6% v 10.4%, Plt;.0001), but also are 3.43-times more likely (OR 3.43, 95%CI 1.82-6.46) to report future decreases in usage.Cross-sectional retrospective survey and potential response bias.Current teledermatology usage may be a suitable tool for medical-dermatology-focused practices. Material hurdles still exist for procedurally-oriented practices and future studies should investigate these barriers to maximize equitable access to dermatological care. J Drugs Dermatol. 2023;21(1):101-104. doi:10.36849/JDD.7169. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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