Using teledermatology effectively in rural Primary Care settings

Dr Josep Vidal-Alaball. Primary Care Physician. MPH

BRITES: New Ways for Dealing with Medical Conditions

Provides better access to users Van Der Heijden, J.P. et al., 2011. Teledermatology applied following patient selection by general practitioners in daily practice improves efficiency and quality of care at lower cost. British Journal of Dermatology, 165(Table 1), pp.1058–1065

Is both effective and efficient Hersh, W.R. et al., 2002. A systematic review of the efficacy of telemedicine for making diagnostic and management decisions. Journal of Telemedicine and Telecare, 8(4), pp.197–209

Ekeland, A.G., Bowes, A. & Flottorp, S., 2010. Effectiveness of telemedicine: a systematic review of reviews. International journal of medical informatics, 79(11), pp.736–71

Enjoy a high acceptance among users Devine, J., 2009. User satisfaction and experience with a\ntelemedicine service for diabetic foot\ndisease in an Australian rural community. Available at: http://www.ircst.health.nsw.gov.au/__data/assets/pdf_file/0009/98397/Jenni_Devine_report.pdf.

Telemedicine …

In the Catalonian Central Region, dermatology waiting lists had increased significantly during the years 2010-2011

To try to reverse this trend in early 2011 we began a teledermatology project

Since the start of the project, the median (confidence interval 95%) of the days on the waiting list has reduced from 30 (29; 32) to 16 (15; 17) days **Vidal-Alaball, J. et al., 2014. Evaluacion del impacto de la teledermatologia en la disminucion de la lista de espera en la comarca del Bages (2009-2012). Aten Primaria, pp.9–10.

Reduces waiting lists

Teledermatology Pathway

HC

1. We take a picture of the lesion (Digital Camera - iPad)

2. We include the picture in the e-clinical history

3. We write the clinical history for the Dermatologist in the e-notes

4. The dermatologist has access to the e-history

5. The dermatologist looks at the pictures, writes a diagnosis and suggest treatment or ask for a referral

Josep Vidal-Alaball josep.vidal@

gmail.com

Twitter: @jvalaball http://www.slideshare.net/jvalaball