Title: A comparison of real‐time and store‐and‐forward teledermatology: a cost–benefit study
Abstract: British Journal of DermatologyVolume 143, Issue 6 p. 1241-1247 A comparison of real-time and store-and-forward teledermatology: a cost–benefit study M.A. Loane, M.A. Loane Institute of Telemedicine & Telecare, Royal Hospitals Trust, Belfast, U.K. Centre for Online Health, University of Queensland, Faculty of Health Sciences, Edith Cavell Building, Royal Brisbane Hospital, Qld 4029, AustraliaSearch for more papers by this authorS.E. Bloomer, S.E. Bloomer Orchard Family Practice, Portadown Health Centre, Portadown, Co. Armagh, U.K. Departments of Search for more papers by this authorR. Corbett, R. Corbett Medicine andSearch for more papers by this authorD.J. Eedy, D.J. Eedy Department of Dermatology, Craigavon Area Hospital Group Trust, Craigavon, Co. Armagh, U.K. Search for more papers by this authorN. Hicks, N. Hicks The Surgery, Dromore, Co. Down, U.K. Search for more papers by this authorH.E. Lotery, H.E. Lotery Department of Dermatology, Craigavon Area Hospital Group Trust, Craigavon, Co. Armagh, U.K. Search for more papers by this authorC. Mathews, C. Mathews Orchard Family Practice, Portadown Health Centre, Portadown, Co. Armagh, U.K. Departments of Search for more papers by this authorJ. Paisley, J. Paisley Doctor's Surgery, Dromara, Co. Down, U.K. Search for more papers by this authorK. Steele, K. Steele General Practice, Queen's University, Belfast, U.K. Search for more papers by this authorR. Wootton, R. Wootton Institute of Telemedicine & Telecare, Royal Hospitals Trust, Belfast, U.K. Centre for Online Health, University of Queensland, Faculty of Health Sciences, Edith Cavell Building, Royal Brisbane Hospital, Qld 4029, AustraliaSearch for more papers by this author M.A. Loane, M.A. Loane Institute of Telemedicine & Telecare, Royal Hospitals Trust, Belfast, U.K. Centre for Online Health, University of Queensland, Faculty of Health Sciences, Edith Cavell Building, Royal Brisbane Hospital, Qld 4029, AustraliaSearch for more papers by this authorS.E. Bloomer, S.E. Bloomer Orchard Family Practice, Portadown Health Centre, Portadown, Co. Armagh, U.K. Departments of Search for more papers by this authorR. Corbett, R. Corbett Medicine andSearch for more papers by this authorD.J. Eedy, D.J. Eedy Department of Dermatology, Craigavon Area Hospital Group Trust, Craigavon, Co. Armagh, U.K. Search for more papers by this authorN. Hicks, N. Hicks The Surgery, Dromore, Co. Down, U.K. Search for more papers by this authorH.E. Lotery, H.E. Lotery Department of Dermatology, Craigavon Area Hospital Group Trust, Craigavon, Co. Armagh, U.K. Search for more papers by this authorC. Mathews, C. Mathews Orchard Family Practice, Portadown Health Centre, Portadown, Co. Armagh, U.K. Departments of Search for more papers by this authorJ. Paisley, J. Paisley Doctor's Surgery, Dromara, Co. Down, U.K. Search for more papers by this authorK. Steele, K. Steele General Practice, Queen's University, Belfast, U.K. Search for more papers by this authorR. Wootton, R. Wootton Institute of Telemedicine & Telecare, Royal Hospitals Trust, Belfast, U.K. Centre for Online Health, University of Queensland, Faculty of Health Sciences, Edith Cavell Building, Royal Brisbane Hospital, Qld 4029, AustraliaSearch for more papers by this author First published: 15 August 2008 https://doi.org/10.1046/j.1365-2133.2000.03895.xCitations: 86 Ms Maria Loane. E-mail: [email protected] Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Background Increasing use of teledermatology should be based on demonstration of favourable accuracy and cost–benefit analysis for the different methods of use of this technique. Objectives To evaluate the clinical efficacy and cost-effectiveness of real-time and store-and-forward teledermatology. Methods Patients attended their own health centre and in the company of a general practitioner (GP) were seen by a hospital dermatologist over the videolink (real-time). Before the videolink consultation commenced, the GP took instant photographs of the skin lesion and posted them along with a standard referral letter to a different hospital dermatologist (store-and-forward). In total, 96 patients were seen by both real-time and store-and-forward teledermatology. Comparative diagnoses, clinical management plans, clinical outcomes and associated costs were made between the two types of teledermatology consultation. Results There was agreement between the videolink diagnosis and the still image diagnosis in 51% of cases. The same or similar management plan was recommended at both types of consultation in 44% of cases. Following the store-and-forward consultation the dermatologist recommended that 69% of patients required at least one hospital appointment compared with 45% of those patients seen in real-time. The net societal cost of the initial real-time consultation was £132·10 per patient compared with £26·90 per patient for the initial store-and-forward consultation. Conclusions The store-and-forward consultation was cheaper, but less clinically efficient, compared with the real-time consultation. The absence of interaction in a store-and-forward consultation limits the dermatologist's ability to obtain clinically useful information in order to diagnose and manage a patient satisfactorily. Citing Literature Volume143, Issue6December 2000Pages 1241-1247 RelatedInformation
Publication Year: 2000
Publication Date: 2000-12-01
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
Access and Citation
Cited By Count: 145
AI Researcher Chatbot
Get quick answers to your questions about the article from our AI researcher chatbot