Impact of teledermatology on the accessibility and efficiency of dermatology care in an urban safety-net hospital: A pre-post analysis

Teledermatology enables dermatologists to remotely triage and evaluate dermatology patients, but previous studies have questioned whether teledermatology is clinically efficient. To determine whether implementation of a teledermatology system at the Zuckerberg San Francisco General Hospital and Trau...

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Veröffentlicht in:	Journal of the American Academy of Dermatology 2019-12, Vol.81 (6), p.1446-1452
Hauptverfasser:	Zakaria, Adam, Maurer, Toby, Su, George, Amerson, Erin
Format:	Artikel
Sprache:	eng
Schlagworte:	access Adult Aged appointments avoided Dermatology - methods Efficiency Evaluation Studies as Topic Female Health Services Accessibility - statistics & numerical data Humans Male Middle Aged Retrospective Studies Safety-net Providers - statistics & numerical data Skin Diseases - diagnosis store-and-forward teledermatology telehealth Telemedicine underserved populations Urban Health Services - statistics & numerical data
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Zusammenfassung:	Teledermatology enables dermatologists to remotely triage and evaluate dermatology patients, but previous studies have questioned whether teledermatology is clinically efficient. To determine whether implementation of a teledermatology system at the Zuckerberg San Francisco General Hospital and Trauma Center has improved the accessibility and efficiency of dermatology care delivery. Retrospective, pre-post analysis of a pre-teledermatology cohort (June 2014-December 2014) compared with a post-teledermatology cohort (June 2017-December 2017). Our analysis captured 11,586 patients. After implementation of teledermatology, waiting times for new patients decreased significantly (84.6 days vs 6.7 days; P
ISSN:	0190-9622 1097-6787
DOI:	10.1016/j.jaad.2019.08.016