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Effectiveness of Teledermatology on Clinical, Patient-Reported, and Operational Outcomes: A Systematic Review
Mueed Ijaz1, Rasi Mizori1, Yasser Al Omran2
1King's College London, UK.
Dermatology Practical & Conceptual
|March 30, 2026
Summary
Teledermatology (TD) offers moderate diagnostic accuracy and significant cost savings, though patient acceptance varies. Successful implementation relies on quality imaging and infrastructure for effective remote skin condition management.
Area of Science:
- Dermatology
- Health Informatics
- Digital Health
Background:
- Teledermatology (TD) has evolved significantly since 1995, with increased adoption during the COVID-19 pandemic.
- TD provides a crucial alternative to face-to-face (F2F) consultations, especially in underserved areas.
Purpose of the Study:
- To systematically review the effectiveness of teledermatology (TD).
- Evaluation focused on clinical outcomes, patient satisfaction, and cost-effectiveness compared to F2F consultations.
Main Methods:
- A systematic literature search was performed across major databases (MEDLINE, Embase, Web of Science) for studies from 2010-2024.
- Included studies compared TD with F2F consultations on diagnostic accuracy, patient satisfaction, and cost-effectiveness.
- Study quality was assessed using the Newcastle-Ottawa Scale (NOS).
Main Results:
- 23 studies met inclusion criteria, showing moderate diagnostic agreement (kappa=0.57) between TD and F2F consultations.
- Patient willingness to substitute F2F consultations with TD was 26.57%.
- TD demonstrated significant cost savings, averaging $81.31 per patient, with savings ranging from 6.27% to 45.33%.
Conclusions:
- Teledermatology (TD) demonstrates moderate diagnostic accuracy and substantial cost-effectiveness.
- Patient satisfaction with TD is variable, highlighting the need for further optimization.
- Successful TD implementation requires high-quality imaging, clinician training, and robust infrastructure.

