Real-time teledermatology clinics in a tertiary public hospital: A clinical audit.
Adolescent
Adult
Aged
Aged, 80 and over
Clinical Audit
Dermatology
Female
Hospitals, Public
Humans
Male
Middle Aged
Outpatient Clinics, Hospital
Queensland
/ epidemiology
Referral and Consultation
/ statistics & numerical data
Remote Consultation
/ statistics & numerical data
Retrospective Studies
Skin Diseases
/ epidemiology
Videoconferencing
Young Adult
clinical audit
teledermatology
telehealth
telemedicine
Journal
The Australasian journal of dermatology
ISSN: 1440-0960
Titre abrégé: Australas J Dermatol
Pays: Australia
ID NLM: 0135232
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
01
09
2019
revised:
22
03
2020
accepted:
10
04
2020
pubmed:
12
5
2020
medline:
14
10
2021
entrez:
12
5
2020
Statut:
ppublish
Résumé
Our metropolitan hospital provides a real-time videoconference teledermatology clinic to enable patients in rural and remote Queensland to access a specialist for dermatology care. Retrospective clinical audit of all patient referrals to the videoconference teledermatology clinic for a two-year period. A total of 483 consultations for 178 patients were conducted by the teledermatology clinic. Most patients were from remote and very remote regions of Queensland with a mean distance from our metropolitan hospital to the patient's town of residence of 1295 km. The most common reason for referral, as per the referral form, was rash (32%), followed by acne (12%) and dermatitis (11%). Most (78%) referrals came from general practitioners. Around 8% of patients seen in the teledermatology clinic were converted to in-person review; 81% of patients were managed via teledermatology, and 10% of patients did not attend the scheduled teleconsultation. The outpatient teledermatology clinic run through the Telehealth Centre of a metropolitan hospital is an effective way of delivering a general dermatology consultation service to rural and remote patients in a timely manner.
Sections du résumé
BACKGROUND
BACKGROUND
Our metropolitan hospital provides a real-time videoconference teledermatology clinic to enable patients in rural and remote Queensland to access a specialist for dermatology care.
METHODS
METHODS
Retrospective clinical audit of all patient referrals to the videoconference teledermatology clinic for a two-year period.
RESULTS
RESULTS
A total of 483 consultations for 178 patients were conducted by the teledermatology clinic. Most patients were from remote and very remote regions of Queensland with a mean distance from our metropolitan hospital to the patient's town of residence of 1295 km. The most common reason for referral, as per the referral form, was rash (32%), followed by acne (12%) and dermatitis (11%). Most (78%) referrals came from general practitioners. Around 8% of patients seen in the teledermatology clinic were converted to in-person review; 81% of patients were managed via teledermatology, and 10% of patients did not attend the scheduled teleconsultation.
CONCLUSION
CONCLUSIONS
The outpatient teledermatology clinic run through the Telehealth Centre of a metropolitan hospital is an effective way of delivering a general dermatology consultation service to rural and remote patients in a timely manner.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e383-e387Subventions
Organisme : National Health and Medical Research Council
ID : APP1137127
Informations de copyright
© 2020 The Australasian College of Dermatologists.
Références
Australian Bureau of Statistics Data by Region 2019 Available at: https://itt.abs.gov.au/itt/r.jsp?databyregion (Accessed: 13 August 2019).
Australasian College of Dermatologists Annual Report 2017 Available at: https://www.dermcoll.edu.au/wp-content/uploads/FA_SS0437_ACDannualreport2017-1.pdf (Accessed: 13 August 2019).
Biscak TM, Eley R, Manoharan S et al. Audit of a state-wide store and forward teledermatology service in Australia. J. Telemed. Telecare 2013; 19: 362-6.
Queensland Government Waiting Lists 2015 Available at: https://www.qld.gov.au/health/services/hospital-care/waiting-lists (Accessed: 26 August).
Australian Bureau of Statistics Australian Standard Geographical Classification 2018 Available at: https://www.abs.gov.au/websitedbs/D3310114.nsf/home/Australian+Standard+Geographical+Classification+%28ASGC%29 (Accessed: 13 August 2019).
Kozera EK, Yang A, Murrell DF. Patient and practitioner satisfaction with teledermatology including Australia's indigenous population: A systematic review of the literature. Int. J. Womens Dermatol. 2016; 2: 70-3.
McKoy K, Antoniotti NM, Armstrong A et al. Practice Guidelines for Teledermatology. Telemed. EHealth. 2016; 22: 981-90.
Mounessa JS, Chapman S, Braunberger T et al. A systematic review of satisfaction with teledermatology. J. Telemed. Telecare 2018; 24: 263-70.
Caffery LJ, Bradford NK, Wickramasinghe SI et al. Outcomes of using telehealth for the provision of healthcare to Aboriginal and Torres Strait Islander people: a systematic review. Aust. Nz. J. Publ. Heal. 2017; 41: 48-53.
Al Quran HA, Khader YS, Ellauzi ZM et al. Effect of real-time teledermatology on diagnosis, treatment and clinical improvement. J. Telemed. Telecare. 2015; 21: 93-9.
Lamel S, Chambers CJ, Ratnarathorn M et al. Impact of live interactive teledermatology on diagnosis, disease management, and clinical outcomes. Arch. Dermatol. 2012; 148: 61-5.
Brinker TJ, Hekler A, von Kalle C et al. Teledermatology: comparison of store-and-forward versus live interactive video conferencing. J. Med. Internet. Res. 2018; 20: e11871.
Mars M, Dlova N. Teledermatology by videoconference: Experience of a pilot project. S. Afr. Fam. Pract. 2008; 50: 70-d.
Romero G, Sanchez P, Garcia M et al. Randomized controlled trial comparing store-and-forward teledermatology alone and in combination with web-camera videoconferencing. Clin Exp Dermatol. 2010; 35: 311-7.
Landow SM, Mateus A, Korgavkar K et al. Teledermatology: Key factors associated with reducing face-to-face dermatology visits. J. Am. Acad. Dermatol. 2014; 71: 570-6.
Marchell R, Locatis C, Burges G et al. Comparing high definition live interactive and store-and-forward consultations to in-person examinations. Telemed. J. E Health 2017; 23(3): 213-218. https://doi.org/10.1089/tmj.2016.0093.
Lee JJ, English JC. Teledermatology: a review and update. Am. J. Clin. Dermatol 2018; 19: 253.
Trettel A, Eissing L, Augustin M. Telemedicine in dermatology: findings and experiences worldwide - a systematic literature review. J Eur Acad Dermatol Venereol 2018; 32(2): 215-224.