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[Indicators in teledermatology: A literature review]
E Ridard1, H Secember1, P Carvalho-Lallement2
1Université de Rouen, UFR Santé, département de médecine générale, 22, boulevard Gambetta, 76000 Rouen, France.
Annales De Dermatologie Et De Venereologie
|July 19, 2020
Summary
Teledermatology, a key telemedicine application, shows promise with reliable diagnoses and reduced costs. However, standardized tools are needed for consistent evaluation, especially for patient satisfaction.
Area of Science:
- Medical Informatics
- Dermatology
- Health Services Research
Background:
- Teledermatology is a widely adopted telemedicine application.
- Medico-economic evaluations are crucial for teledermatology deployment.
- Defining accurate and measurable indicators is essential for high-quality assessments.
Purpose of the Study:
- To identify indicators for evaluating teledermatology procedures.
- To assess the relevance and outcomes of these indicators.
Main Methods:
- Literature search conducted in PubMed until September 2017.
- MeSH search terms: "telemedicine", "dermatology", "quality improvement".
- Included 127 out of 372 identified articles.
Main Results:
- Fourteen indicators identified across four categories: process, quality, cost, and satisfaction.
- Diagnostic reliability was the most frequently assessed indicator, showing good overall performance compared to conventional consultations.
- Costs were generally reduced, but challenges in comparing satisfaction indicators due to a lack of validated tools were noted.
Conclusions:
- Teledermatology is a promising tool requiring tailored deployment strategies.
- Consultation with patients and healthcare professionals is vital for successful implementation.
- Evaluation methods must be context-specific and utilize standardized instruments.
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