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Access to Consultative Dermatologic Care via Physician-to-Physician Asynchronous Outpatient Teledermatology.

Authors :
Mizes, Alicia
Vainder, Charles
Snyder Howerter, Stephanie
Hu, Allen
Liu, Andrew
Harris, Alexandra
Moorhead, Autumn
Falo Jr, Louis D.
English III, Joseph C.
Source :
American Journal of Managed Care. Jan2021, Vol. 27 Issue 1, p30-32. 3p.
Publication Year :
2021

Abstract

OBJECTIVES: To determine whether physician-to-physician outpatient asynchronous store-and-forward teledermatology can be a portal for patient access to consultative dermatologic care and decrease primary care physician referrals to dermatology. STUDY DESIGN: Retrospective study. METHODS: Reviewed outpatient teledermatology consults completed within a shared Epic electronic health record at the University of Pittsburgh Medical Center (UPMC) Health System between August 4, 2013, and December 19, 2019. Study data were reviewed for consult response time and triage percentage. Patient and physician experiences were collected by satisfaction surveys. RESULTS: This study reviewed 1581 teledermatology consults that originated from UPMC primary care provider (PCP) appointments. The average response time for a completed consult was 1 hour, 13 minutes for same-day consult submissions. The majority of consults, 63%, were completed online, whereas only 37% of patients were recommended for an in-person referral visit to the dermatology clinic. Surveyed patients (81%) and PCPs (90%) responded positively to their teledermatology experience. CONCLUSIONS: Physician-to-physician outpatient asynchronous teledermatology consults can provide a model for rapid consultation and decreased primary care referral to dermatology. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10880224
Volume :
27
Issue :
1
Database :
Academic Search Index
Journal :
American Journal of Managed Care
Publication Type :
Academic Journal
Accession number :
148273802
Full Text :
https://doi.org/10.37765/ajmc.2021.88574