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...
Gespeichert in:
| Veröffentlicht in: | Journal of the American Academy of Dermatology 2019-12, Vol.81 (6), p.1446-1452 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1452 |
|---|---|
| container_issue | 6 |
| container_start_page | 1446 |
| container_title | Journal of the American Academy of Dermatology |
| container_volume | 81 |
| creator | Zakaria, Adam Maurer, Toby Su, George Amerson, Erin |
| description | 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 |
| doi_str_mv | 10.1016/j.jaad.2019.08.016 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2275317926</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0190962219325630</els_id><sourcerecordid>2275317926</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-2d561259ce2adab709d92b331d8c8b08cf3f678345ada2302d7c36b15ac09b3a3</originalsourceid><addsrcrecordid>eNp9kMtO3DAUhq2KCgbKC7BAXrJJ8GVyMeoGoRaQkNi0a-vEPgGPkjjYHqS8QJ-7ng5UrNjY0jnf_0vnI-SMs5IzXl9uyg2ALQXjqmRtmUdfyIoz1RR10zYHZJUXrFC1EEfkOMYNY0ytZXNIjiRf86qV6xX5cz_OYBL1PU04oMUwQvKDf1qon2h6RgrGYIyuc4NLC4XJUux7ZxxOZtnFPkYMBKRuyhTdhi6_EXpMSzFhos8-zi7BcEWv6RywmH1MGYRhiS5-I197GCKevv0n5PfPH79u7oqHx9v7m-uHwsiqToWwVc1FpQwKsNA1TFklOim5bU3bsdb0ss-3y3WV10IyYRsj645XYJjqJMgTcrHvnYN_2WJMenTR4DDAhH4btRBNJXmjRJ1RsUdN8DEG7PUc3Ahh0ZzpnX-90Tv_eudfs1bnUQ6dv_VvuxHt_8i78Ax83wOYr3x1GHT8pxKtC2iStt591v8XeDiYuQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2275317926</pqid></control><display><type>article</type><title>Impact of teledermatology on the accessibility and efficiency of dermatology care in an urban safety-net hospital: A pre-post analysis</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Zakaria, Adam ; Maurer, Toby ; Su, George ; Amerson, Erin</creator><creatorcontrib>Zakaria, Adam ; Maurer, Toby ; Su, George ; Amerson, Erin</creatorcontrib><description>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 < .001), total cases evaluated per month increased significantly (754 vs 901; P = .008), and number of cases evaluated per dermatologist-hour increased significantly (2.27 vs 2.63; P = .010). In the post-teledermatology period, 61.8% of teledermatology consults were managed without a clinic visit.
We were unable to control for changes in demand for dermatology evaluations between the 2 periods and did not have a control group with which to compare our results.
The dermatology service was more accessible and more efficient after implementation of teledermatology, suggesting that capitated health care settings can benefit from implementation of a teledermatology system.</description><identifier>ISSN: 0190-9622</identifier><identifier>EISSN: 1097-6787</identifier><identifier>DOI: 10.1016/j.jaad.2019.08.016</identifier><identifier>PMID: 31415834</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Journal of the American Academy of Dermatology, 2019-12, Vol.81 (6), p.1446-1452</ispartof><rights>2019 American Academy of Dermatology, Inc.</rights><rights>Copyright © 2019 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-2d561259ce2adab709d92b331d8c8b08cf3f678345ada2302d7c36b15ac09b3a3</citedby><cites>FETCH-LOGICAL-c356t-2d561259ce2adab709d92b331d8c8b08cf3f678345ada2302d7c36b15ac09b3a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaad.2019.08.016$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31415834$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zakaria, Adam</creatorcontrib><creatorcontrib>Maurer, Toby</creatorcontrib><creatorcontrib>Su, George</creatorcontrib><creatorcontrib>Amerson, Erin</creatorcontrib><title>Impact of teledermatology on the accessibility and efficiency of dermatology care in an urban safety-net hospital: A pre-post analysis</title><title>Journal of the American Academy of Dermatology</title><addtitle>J Am Acad Dermatol</addtitle><description>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 < .001), total cases evaluated per month increased significantly (754 vs 901; P = .008), and number of cases evaluated per dermatologist-hour increased significantly (2.27 vs 2.63; P = .010). In the post-teledermatology period, 61.8% of teledermatology consults were managed without a clinic visit.
We were unable to control for changes in demand for dermatology evaluations between the 2 periods and did not have a control group with which to compare our results.
The dermatology service was more accessible and more efficient after implementation of teledermatology, suggesting that capitated health care settings can benefit from implementation of a teledermatology system.</description><subject>access</subject><subject>Adult</subject><subject>Aged</subject><subject>appointments avoided</subject><subject>Dermatology - methods</subject><subject>Efficiency</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Safety-net Providers - statistics & numerical data</subject><subject>Skin Diseases - diagnosis</subject><subject>store-and-forward</subject><subject>teledermatology</subject><subject>telehealth</subject><subject>Telemedicine</subject><subject>underserved populations</subject><subject>Urban Health Services - statistics & numerical data</subject><issn>0190-9622</issn><issn>1097-6787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtO3DAUhq2KCgbKC7BAXrJJ8GVyMeoGoRaQkNi0a-vEPgGPkjjYHqS8QJ-7ng5UrNjY0jnf_0vnI-SMs5IzXl9uyg2ALQXjqmRtmUdfyIoz1RR10zYHZJUXrFC1EEfkOMYNY0ytZXNIjiRf86qV6xX5cz_OYBL1PU04oMUwQvKDf1qon2h6RgrGYIyuc4NLC4XJUux7ZxxOZtnFPkYMBKRuyhTdhi6_EXpMSzFhos8-zi7BcEWv6RywmH1MGYRhiS5-I197GCKevv0n5PfPH79u7oqHx9v7m-uHwsiqToWwVc1FpQwKsNA1TFklOim5bU3bsdb0ss-3y3WV10IyYRsj645XYJjqJMgTcrHvnYN_2WJMenTR4DDAhH4btRBNJXmjRJ1RsUdN8DEG7PUc3Ahh0ZzpnX-90Tv_eudfs1bnUQ6dv_VvuxHt_8i78Ax83wOYr3x1GHT8pxKtC2iStt591v8XeDiYuQ</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Zakaria, Adam</creator><creator>Maurer, Toby</creator><creator>Su, George</creator><creator>Amerson, Erin</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201912</creationdate><title>Impact of teledermatology on the accessibility and efficiency of dermatology care in an urban safety-net hospital: A pre-post analysis</title><author>Zakaria, Adam ; Maurer, Toby ; Su, George ; Amerson, Erin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-2d561259ce2adab709d92b331d8c8b08cf3f678345ada2302d7c36b15ac09b3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>access</topic><topic>Adult</topic><topic>Aged</topic><topic>appointments avoided</topic><topic>Dermatology - methods</topic><topic>Efficiency</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Safety-net Providers - statistics & numerical data</topic><topic>Skin Diseases - diagnosis</topic><topic>store-and-forward</topic><topic>teledermatology</topic><topic>telehealth</topic><topic>Telemedicine</topic><topic>underserved populations</topic><topic>Urban Health Services - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zakaria, Adam</creatorcontrib><creatorcontrib>Maurer, Toby</creatorcontrib><creatorcontrib>Su, George</creatorcontrib><creatorcontrib>Amerson, Erin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zakaria, Adam</au><au>Maurer, Toby</au><au>Su, George</au><au>Amerson, Erin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of teledermatology on the accessibility and efficiency of dermatology care in an urban safety-net hospital: A pre-post analysis</atitle><jtitle>Journal of the American Academy of Dermatology</jtitle><addtitle>J Am Acad Dermatol</addtitle><date>2019-12</date><risdate>2019</risdate><volume>81</volume><issue>6</issue><spage>1446</spage><epage>1452</epage><pages>1446-1452</pages><issn>0190-9622</issn><eissn>1097-6787</eissn><abstract>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 < .001), total cases evaluated per month increased significantly (754 vs 901; P = .008), and number of cases evaluated per dermatologist-hour increased significantly (2.27 vs 2.63; P = .010). In the post-teledermatology period, 61.8% of teledermatology consults were managed without a clinic visit.
We were unable to control for changes in demand for dermatology evaluations between the 2 periods and did not have a control group with which to compare our results.
The dermatology service was more accessible and more efficient after implementation of teledermatology, suggesting that capitated health care settings can benefit from implementation of a teledermatology system.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31415834</pmid><doi>10.1016/j.jaad.2019.08.016</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0190-9622 |
| ispartof | Journal of the American Academy of Dermatology, 2019-12, Vol.81 (6), p.1446-1452 |
| issn | 0190-9622 1097-6787 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2275317926 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | 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 |
| title | Impact of teledermatology on the accessibility and efficiency of dermatology care in an urban safety-net hospital: A pre-post analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-22T20%3A39%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20teledermatology%20on%20the%20accessibility%20and%20efficiency%20of%20dermatology%20care%20in%20an%20urban%20safety-net%20hospital:%20A%20pre-post%20analysis&rft.jtitle=Journal%20of%20the%20American%20Academy%20of%20Dermatology&rft.au=Zakaria,%20Adam&rft.date=2019-12&rft.volume=81&rft.issue=6&rft.spage=1446&rft.epage=1452&rft.pages=1446-1452&rft.issn=0190-9622&rft.eissn=1097-6787&rft_id=info:doi/10.1016/j.jaad.2019.08.016&rft_dat=%3Cproquest_cross%3E2275317926%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2275317926&rft_id=info:pmid/31415834&rft_els_id=S0190962219325630&rfr_iscdi=true |