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Related Experiment Video

Updated: Jun 26, 2025

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Direct to Patient Synchronous Teledermatology During COVID-19 Pandemic.

Neil Vaishampayan1, Nicole Trupiano1, Rebecca Goldberg2

  • 1Department of Dermatology, University of Michigan, Ann Arbor, Michigan USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|May 16, 2024
PubMed
Summary

Teledermatology is effective for managing rashes, with these patients being more likely to use video visits and require less follow-up. This study guides appropriate patient care in synchronous video consultations.

Keywords:
synchronousteledermatologytelemedicinevideo visit management

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Area of Science:

  • Dermatology
  • Health Services Research
  • Digital Health

Background:

  • Teledermatology use surged during the COVID-19 pandemic.
  • Synchronous video visits are a key component of teledermatology.
  • Identifying diagnoses suitable for video visits is crucial for optimizing patient care.

Purpose of the Study:

  • To determine which dermatologic diagnoses are best suited for synchronous video visits.
  • To analyze factors influencing the use of video visits for dermatologic care.

Main Methods:

  • Retrospective study of 1,647 synchronous video visits from September 2020 to March 2021.
  • Analysis of diagnosis subtypes, follow-up rates, and demographic factors.
  • Statistical analysis including odds ratios to compare visit types.

Main Results:

  • Rashes were significantly more likely to be managed via video visits compared to skin lesions or nonskin conditions.
  • Patients with rashes had higher odds of video visit follow-up and lower odds of requiring in-person visits.
  • Demographic analysis showed higher video visit usage among employed, middle-aged, privately insured patients, and disparities in usage among racial groups.

Conclusions:

  • Certain dermatologic diagnoses, particularly rashes, are highly suitable for management through synchronous video visits.
  • Teledermatology, specifically video visits, can efficiently manage conditions like rashes from initial diagnosis through completion of care.
  • Findings support the integration of video visits for specific dermatologic conditions to improve healthcare delivery.