Patient-Centered Teledermatology: Bridging Pharmacies and Dermatologists

Area of Science:

• Dermatology
• Health Informatics
• Telemedicine

Background:

• France faces a chronic shortage of dermatologists, leading to average 3-month waiting times.
• This impacts equitable access to care and timely diagnosis of severe skin conditions like cancer.
• A pilot project assessed a tele-expertise platform connecting community pharmacists and dermatologists.

Purpose of the Study:

• Evaluate the feasibility of a tele-expertise platform.
• Assess the effectiveness of the platform in improving dermatological care access.
• Determine the acceptability and satisfaction levels among pharmacists and patients.

Main Methods:

• 40 pharmacies submitted 731 dermatological cases over 12 months (March 2024-March 2025).
• Pharmacists received training in clinical photography and platform use.
• Twelve dermatologists provided expert responses within a 24-48 hour target.

Main Results:

• 714 tele-expertises were completed, with initial mean response time of 5.4 days, improving to 1-2 days by study end.
• Common conditions included suspected melanoma, carcinomas, eczema, and rosacea.
• Pharmacist satisfaction was 72% (NPS 24%), with 94% recommending scale-up; 88% of patients reported satisfaction.

Conclusions:

• The pharmacy-centered tele-expertise model enhances rapid access to dermatological expertise and reduces diagnostic delays.
• Integration into coordinated care pathways, pharmacist remuneration, and legal reforms are necessary for sustainability.
• A second pilot is underway to test these recommendations and address limitations like e-prescription integration.