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Updated: Jul 4, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Published on: April 12, 2021

Teledermatology for chronic disease management: coherence and normalization.

Tracy Finch1

  • 1Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK. Tracy.Finch@ncl.ac.uk

Chronic Illness
|June 28, 2008
PubMed
Summary

Teledermatology often lacks coherence for patients managing skin conditions, hindering self-management. Understanding patient experiences is key for successful integration of healthcare technology.

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Last Updated: Jul 4, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Area of Science:

  • Dermatology
  • Health Informatics
  • Patient Experience Research

Background:

  • Teledermatology offers potential for chronic disease self-management.
  • Normalization of healthcare technology requires understanding user perspectives.
  • Coherence is crucial for integrating new interventions into patient lifeworlds.

Purpose of the Study:

  • To explore the importance of coherence in normalizing teledermatology interventions.
  • To examine teledermatology for skin disease management from patient and advocate viewpoints.

Main Methods:

  • Semi-structured interviews were conducted with 20 patients and 68 health professionals, managers, and patient advocates.
  • Twelve teledermatology services were analyzed.

Main Results:

  • Teledermatology lacked coherence for patients and advocates, with unclear objectives.
  • Features like lack of consultant interaction and diagnostic uncertainty limited patient participation.
  • Teledermatology often failed to align with patients' lifeworlds and diverse needs.

Conclusions:

  • Successful integration of healthcare technology for self-management depends on understanding patient experiences.
  • Greater insight into patient perspectives is needed for effective normalization of teledermatology.