Practice models and challenges in teledermatology: a study of collective experiences from teledermatologists.

<h4>Background</h4>Despite increasing practice of teledermatology in the U.S., teledermatology practice models and real-world challenges are rarely studied.<h4>Methods</h4>The primary objective was to examine teledermatology practice models and shared challenges among teleder...

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Autores principales:	April W Armstrong, Mei W Kwong, Lynda Ledo, Thomas S Nesbitt, Sandra L Shewry
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0b4d4ba374984da280245d031cd9e58f
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spelling	oai:doaj.org-article:0b4d4ba374984da280245d031cd9e58f2021-11-18T07:32:17ZPractice models and challenges in teledermatology: a study of collective experiences from teledermatologists.1932-620310.1371/journal.pone.0028687https://doaj.org/article/0b4d4ba374984da280245d031cd9e58f2011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22194887/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Despite increasing practice of teledermatology in the U.S., teledermatology practice models and real-world challenges are rarely studied.<h4>Methods</h4>The primary objective was to examine teledermatology practice models and shared challenges among teledermatologists in California, focusing on practice operations, reimbursement considerations, barriers to sustainability, and incentives. We conducted in-depth interviews with teledermatologists that practiced store-and-forward or live-interactive teledermatology from January 1, 2007 through March 30, 2011 in California.<h4>Results</h4>Seventeen teledermatologists from academia, private practice, health maintenance organizations, and county settings participated in the study. Among them, 76% practiced store-and-forward only, 6% practiced live-interactive only, and 18% practiced both modalities. Only 29% received structured training in teledermatology. The average number of years practicing teledermatology was 4.29 years (SD±2.81). Approximately 47% of teledermatologists served at least one Federally Qualified Health Center. Over 75% of patients seen via teledermatology were at or below 200% federal poverty level and usually lived in rural regions without dermatologist access. Practice challenges were identified in the following areas. Teledermatologists faced delays in reimbursements and non-reimbursement of teledermatology services. The primary reason for operational inefficiency was poor image quality and/or inadequate history. Costly and inefficient software platforms and lack of communication with referring providers also presented barriers.<h4>Conclusion</h4>Teledermatology enables underserved populations to access specialty care. Improvements in reimbursement mechanisms, efficient technology platforms, communication with referring providers, and teledermatology training are necessary to support sustainable practices.April W ArmstrongMei W KwongLynda LedoThomas S NesbittSandra L ShewryPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 12, p e28687 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q April W Armstrong Mei W Kwong Lynda Ledo Thomas S Nesbitt Sandra L Shewry Practice models and challenges in teledermatology: a study of collective experiences from teledermatologists.
description	<h4>Background</h4>Despite increasing practice of teledermatology in the U.S., teledermatology practice models and real-world challenges are rarely studied.<h4>Methods</h4>The primary objective was to examine teledermatology practice models and shared challenges among teledermatologists in California, focusing on practice operations, reimbursement considerations, barriers to sustainability, and incentives. We conducted in-depth interviews with teledermatologists that practiced store-and-forward or live-interactive teledermatology from January 1, 2007 through March 30, 2011 in California.<h4>Results</h4>Seventeen teledermatologists from academia, private practice, health maintenance organizations, and county settings participated in the study. Among them, 76% practiced store-and-forward only, 6% practiced live-interactive only, and 18% practiced both modalities. Only 29% received structured training in teledermatology. The average number of years practicing teledermatology was 4.29 years (SD±2.81). Approximately 47% of teledermatologists served at least one Federally Qualified Health Center. Over 75% of patients seen via teledermatology were at or below 200% federal poverty level and usually lived in rural regions without dermatologist access. Practice challenges were identified in the following areas. Teledermatologists faced delays in reimbursements and non-reimbursement of teledermatology services. The primary reason for operational inefficiency was poor image quality and/or inadequate history. Costly and inefficient software platforms and lack of communication with referring providers also presented barriers.<h4>Conclusion</h4>Teledermatology enables underserved populations to access specialty care. Improvements in reimbursement mechanisms, efficient technology platforms, communication with referring providers, and teledermatology training are necessary to support sustainable practices.
format	article
author	April W Armstrong Mei W Kwong Lynda Ledo Thomas S Nesbitt Sandra L Shewry
author_facet	April W Armstrong Mei W Kwong Lynda Ledo Thomas S Nesbitt Sandra L Shewry
author_sort	April W Armstrong
title	Practice models and challenges in teledermatology: a study of collective experiences from teledermatologists.
title_short	Practice models and challenges in teledermatology: a study of collective experiences from teledermatologists.
title_full	Practice models and challenges in teledermatology: a study of collective experiences from teledermatologists.
title_fullStr	Practice models and challenges in teledermatology: a study of collective experiences from teledermatologists.
title_full_unstemmed	Practice models and challenges in teledermatology: a study of collective experiences from teledermatologists.
title_sort	practice models and challenges in teledermatology: a study of collective experiences from teledermatologists.
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/0b4d4ba374984da280245d031cd9e58f
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Practice models and challenges in teledermatology: a study of collective experiences from teledermatologists.

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