This book offers a comprehensive and the foundational structure for all healthcare professionals developing, practicing, and performing research in teledermatology. The chapters of this book examines the field of teledermatology and will include: platforms and practice models, the impact of COVID-19, the telehealth and mobile teledermatology industry, the effect on healthcare accessibility, equality, specialty referrals and no-show rates, cost effectiveness, implementation, regulations and reimbursement, practice guidelines, outcomes for skin lesions, inflammatory dermatoses, inpatient consultations and pediatrics, research utilization, education, image quality and artificial intelligence, global and international efforts as well as patient and physician satisfaction. Chapters are authored by leaders in the field of dermatology and teledermatology. The goal is for the reader to become knowledgeable and proficient within field of teledermatology to increase patient access, manage skin disease and develop beneficial outcomes via electronic consultations.
Teledermatology: A Comprehensive Overview is a must-have resource for dermatologists, dermatology academic and hospital leadership, hospital administrators, and telehealth programs.
Author(s): Joseph C English III
Series: Updates in Clinical Dermatology
Publisher: Springer
Year: 2023
Language: English
Pages: 246
City: Cham
Preface
Acknowledgments
Contents
1: Teledermatology: Platforms
Introduction
Store-and-Forward Platforms
Electronic Medical Record Native Platforms
SAF Platforms for Dermatologists and Health Systems
Direct-to-Consumer SAF Teledermatology Platforms
Ad hoc SAF Teledermatology Platforms
Live Interactive Teledermatology Platforms
Electronic Medical Record (EMR) Native Platforms
Standalone LI Telemedicine Platforms
Direct-to-Consumer LI Teledermatology Platforms
Ad hoc LI Teledermatology Platforms
Conclusion
References
2: Teledermatology: Practice Models
Introduction
Delivery Models
Asynchronous Model
Benefits
Challenges
Synchronous Delivery Model
Benefits
Challenges
Hybrid Model
Benefits
Challenges
Practice Models
Triage Model
Benefits
Challenges
Consultative Model
Benefits
Challenges
Direct-Care Model
Benefits
Challenges
Conclusion
References
3: Teledermatology: During the COVID-19 Pandemic
National Expansion of Telehealth in Response to COVID-19
Effectiveness of Telehealth During COVID-19
Synchronous and Asynchronous Teledermatology During COVID-19
Teledermatology Accessibility Challenges During COVID-19
Teledermatology Post-Pandemic
References
4: Teledermatology: Access and Equity
Introduction
Barriers to Access
Viability of Telemedicine in Vulnerable Populations
Simplified Methods of Connectivity
Increasing Access to Care
Effect on Clinic Performance in the Safety-Net
Special Populations
Minority Populations
Non-English Speakers
Pediatric Dermatology Patients
Elderly Populations
Rural Populations
Indian Reservations
Incarcerated Patients
Direct to Consumer Teledermatology Platforms: Promise and Pitfalls
Emergency Implementation of Telemedicine During COVID-19 Surges in Low-Income Communities
Optimization of Teledermatology in Vulnerable Populations
Conclusion and Future Directions
References
5: Teledermatology: Effects on Patient Referral and No-Show
Introduction
Impact of Teledermatology on Patient Referrals
Synchronous Teledermatology Referrals
Asynchronous Teledermatology Referrals
No-Shows in Dermatology
Impact of Teledermatology on Patient No-Show
Synchronous Teledermatology
Asynchronous Teledermatology
Limitations
Limitations of Synchronous Teledermatology
Limitations of Asynchronous Teledermatology
Hybrid Teledermatology
Future Directions
Conclusion
References
6: Teledermatology: Economics and Cost-Effectiveness
Introduction
Healthcare Cost-Effectiveness Definitions
Payor Structure
Insurance
Service Contract
Out-of-Pocket
Beneficiary Perspective
Healthcare System Cost-Effectiveness
Patient/Societal Cost-Effectiveness
Cost Implications of the Two Major Models of Teledermatology: Store-and-Forward vs. Live Interactive
Store-and-Forward Teledermatology
Direct-to-Consumer
Patient-to-Provider
Provider-to-Provider
Cost-Effectiveness of Store-and-Forward Teledermatology
Costs Associated with Store-and-Forward Teledermatology
Hardware and Software
Personnel, Training, and Overhead
Cost Savings Associated with Store-and-Forward Teledermatology
Patient/Societal Perspective
Healthcare System Perspective
Live Interactive Teledermatology
Cost-Effectiveness of Live Interactive Teledermatology
Increased Costs Associated with Live Interactive Teledermatology
Hardware and Software
Personnel, Training, and Overhead
Cost Savings Associated with Live Interactive Teledermatology
Patient/Societal Perspective
HealthCare System Perspective
Future Considerations
Conclusion
References
7: Teledermatology: Implementation
Introduction
Frameworks Used to Guide Implementation Efforts
Methods
Barriers and Facilitators of Teledermatology Implementation
Teledermatology Intervention Characteristics
Outer Setting
Inner Setting
Characteristics of Individuals
Process
Summary
References
8: Teledermatology: Legal and Regulatory Considerations
Introduction
Licensure
Malpractice Coverage
Privacy and Security
Insurance Coverage and Reimbursement
Conclusion
References
9: Teledermatology: Clinical Practice Guidelines
Introduction
Teledermatology Clinical Practice Guidelines: Content
Teledermatology Clinical Practice Guidelines: Appraisal
Teledermatology Clinical Practice Guidelines: The Future
References
10: Teledermatology: Outcomes for Skin Lesions
Introduction
Practical Applications
Store-and-Forward Teledermatology for Skin Lesions
Pigmented Versus Non-Pigmented Lesions
Missed Skin Cancers
Fitzpatrick Skin Type
Store-and-Forward Teledermatology with Mobile Phones
Teledermoscopy
Image Quality
Live Video Conferencing
Long-Term Outcomes of Teledermatology
Patient and Physician Satisfaction
Conclusion
References
11: Teledermatology: Inflammatory Skin Diseases
Demographics and Access
Evaluation and Management
Outcomes
Conclusion
References
12: Inpatient Teledermatology: A Review
Introduction
Inpatient Teledermatology (IPTD)
IPTD: Background
IPTD: Covid
IPTD: Mechanism of Action
IPTD: Accuracy
IPTD: Effectiveness
IPTD: Cost-Effectiveness
IPTD: Efficiency
IPTD: Quality
IPTD: Outcomes
IPTD: Other Uses
IPTD: Advantages and Disadvantages
IPTD Reimbursement
Conclusion
References
13: Teledermatology: Pediatric
Overview
Diagnostic Concordance and Teledermatology
Types of Teledermatology
Family-Centered Care
Socioeconomic Barriers To Access
Teledermatology: Specific Conditions
Acne Vulgaris
Atopic Dermatitis
Infantile Hemangiomas
Inpatient Consultations
Medical Education
Conclusion
References
Further Reading
14: Teledermatology: Mohs Surgery
Teledermatology Prior to Mohs
Teledermatology Post-Mohs Surgery
Challenges to Teledermatology
Conclusion and Next Steps
References
15: Teledermatology: Cosmetics
Introduction
Asynchronous Teledermatology
Synchronous Teledermatology
Optimization of the Patient Interaction Process
Conclusion
References
16: Teledermoscopy
Introduction
Digital Modalities and Platforms Used in Teledermoscopy
Sequential Digital Dermatoscopic Imaging (SDDI)
Machine Learning
Digital Teledermoscopy
Mobile Teledermoscopy
Advantages
Disadvantages
Teledermoscopy in Skin of Color (SOC) Patients
Limitations of Teledermoscopy
Complex Melanocytic and Hypo- or Nonpigmented Lesions
Skin Cancer Screening
Other Limitations
References
17: Teledermatopathology
Introduction
History of Digital Pathology
How Does Digital Pathology Work?
Advantages and Disadvantages of Digital Pathology Workflow
Diagnostic Accuracy and Impact on Patient Care
Consultations and Enhanced Patient Care
Digital Tools for Quantitative Analysis and Improved Patient Care
Digital Pathology and Pathologist Wellness
Cost-Effectiveness of Digital Pathology Implementation
Regulatory Requirements and Billing Compliance for Patient-Related Digital Pathology WSI in the United States
Summary
References
18: Artificial Intelligence and Teledermatology
Introduction
Applications
Diagnosis
Treatment Recommendation
Outcome Prediction
Image Quality
Mobile AI for Teledermatology
Clinical Validation
Conclusion
References
19: Teledermatology: Research Utilization
Introduction
Application of Teledermatology to Clinical Research
Established Virtual Dermatology Clinical Trials
Logistics
Initial Setup
Clinical Trial Teledermatology Visit
Objective Assessment
Limitations
Future Directions
Conclusion
References
20: Teledermatology: Patient and Provider Satisfaction
Introduction
Defining and Measuring Satisfaction
Satisfaction Among Patients
Satisfaction Among Providers
Satisfaction Across Clinical Scenarios
Satisfaction Around the Globe
Dissatisfaction and Concerns
Providers
Patients
Conclusion
References
21: Teledermatology: Resident Education/Conferencing
Introduction
Discussion
Virtual Learning in Dermatologic Surgery and Cosmetic Dermatology
Virtual Conferences in the Era of COVID-19
Teledermatology Training
Drawbacks of Teledermatology in Resident Education
Conclusion
References
22: Teledermatology: International
Introduction to International Teledermatology
The Need for Borderless Dermatology
The COVID-19 Pandemic
Developed Countries and the Human Development Index
North America
Canada
South America
Chile
Argentina
Southeast Asia
Singapore
Malaysia
East Asia
China
South Korea
Japan
South Asia
India
Western Asia
Israel
United Arab Emirates
Saudi Arabia
Turkey
Oceania
Australia
New Zealand
Northern Europe
Norway
Sweden
Denmark
Finland
The United Kingdom
Southern Europe
Italy
Portugal
Spain
Eastern Europe
Hungary
Poland
Western Europe
Switzerland
Austria
Belgium
Germany
France
The Netherlands
Limitations
References
23: Global Teledermatology in Underdeveloped Countries
Introduction
TD Platforms and Methodologies in UDCs
Social Media
Cloud-Based Storage Platforms
Telemedicine EMR Systems
TD-Site-Specific Websites
Characteristics for Sustainable TD in UDCs
Barriers to Sustainable TD in UDCs
Quantitative Variables to Measure TD Program Success
Future Improvements of TD in UDCs
Conclusion
References
24: Teledermatology: Current Integration in Modern Healthcare
Importance and Utility of Teledermatology
Burden of Skin Disease
Underserved Populations
Shortage of Medical Dermatologists
Current Models
Model Characteristics and Requirements
Store-and-Forward Versus Live-Interactive Models
Model Preferences
Teledermatology Delivery Methods: Consultative, Triage, and Direct-Care Models
Teledermatology Technologies
Mobile and Smartphone Devices
Teledermoscopy
Teledermatopathology
Diagnostic Accuracy/Concordance and Patient Satisfaction
Effect of COVID-19
Technical, Legal, and Ethical Limitations
References
Index
