Improved patient access and outcomes with the integration of an eConsult program (teledermatology) within a large academic medical center
| Autor: | Shalina Nair, Andrew Thomas, Jeffrey Lawrence, Llana Pootrakul, Benjamin H. Kaffenberger, Kevin Goist, Randell K. Wexler, John Trinidad, Edward J. Levine, L. Arick Forrest, Milisa K Rizer, Rebecca F. Wang |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Telemedicine Teledermatology medicine.medical_specialty Dermatology Skin Diseases Vulnerable Populations Health Services Accessibility Hospitals University 030207 dermatology & venereal diseases 03 medical and health sciences Appointments and Schedules 0302 clinical medicine Health care Medicine Humans Healthcare Disparities Socioeconomic status Ohio Retrospective Studies business.industry Electronic consultation Remote Consultation Health Plan Implementation Middle Aged Health equity Underinsured Cross-Sectional Studies Socioeconomic Factors 030220 oncology & carcinogenesis Family medicine Ambulatory Female business Program Evaluation |
| Zdroj: | Journal of the American Academy of Dermatology. 83(6) |
| ISSN: | 1097-6787 |
| Popis: | Insurance, racial, and socioeconomic health disparities continue to pose significant challenges for access to dermatologic care. Studies applying teledermatology to increase access to underinsured individuals and ethnic minorities are limited.To determine how the implementation of a teledermatology program affects access to health care and patient outcomes.A cross-sectional evaluation was performed of all ambulatory dermatology referrals and electronic dermatology consultations (eConsults) at Ohio State University within a 25-month period.Compared with ambulatory referrals, eConsults served more nonwhite patients (612 of 1698 [36.0%] vs 4040 of 16,073 [25.1%]; P .001) and more Medicaid enrollees (459 of 1698 patients [27.0%] vs 3266 of 16,073 [20.3%]; P .001). In addition, ambulatory referral patients were significantly less likely to attend their scheduled appointment compared with eConsult patients, as either "no-shows" (246 of 2526 [9.7%] vs 3 of 62 [4.8%]) or cancellations (742 of 2526 [29.4%] vs 8 of 62 [12.9%]; P = .003). There were fewer median days to extirpation for eConsult patients compared with ambulatory referral patients (interquartile range; 80.7 ± 79.8 vs 116.9 ± 86.6 days; P = .004).Integrating dermatologic care through a telemedicine system can result in improved access for underserved patients through improved efficiency outcomes. |
| Databáze: | OpenAIRE |
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