Clinical outcomes and operational impact of a medical photography based teledermatology service with over 8,000 patients in the UK.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2022-01-01 Epub Date: 2021-12-02 DOI:10.1080/17453054.2021.2004883
Ioulios Palamaras, Helen Wark, Billy Short, Omair Akhtar Hameed, Adil Ahmed Sheraz, Penelope Thomson, Kam Kalirai, Lisa Rose
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引用次数: 0

Abstract

A new, store-and-forward, fully digitised Teledermatology (TD) pathway was designed and implemented in an urban setting for non-two-week wait routine patients. In total 8,352 new patients had a TD consultation over 37 months. Of these, 4,748 (56.8%) were referred back to their GP, 1,634 (19.6%) were referred directly for a surgical procedure and 1,970 (23.6%) for a face-to-face review with a Dermatologist (F2F). The average waiting time for a TD appointment was 3 vs. 30 weeks for a routine F2F appointment. Between 2019 and 2018, TD referrals rose by 38%, routine dermatology referrals reduced by 16% and cancer referrals increased by 6%. Using medical photographers proved to be effective with only two cases (0.02%) of images being of insufficient quality to form a clinical opinion. Hitherto, savings for the local Commissioning Groups were estimated at £671,218. Last financial year savings (2019-2020) were £284,671. The average cost savings per TD patient appointment was £80.36. Savings in the Trust's overhead costs were £53,587. TD consultants reviewed almost twice the number of patients vs. F2F for the same amount of consultant programmed activities. 95% of surveyed patients would be likely or extremely likely to recommend this service to friends and family.

临床结果和操作影响的医疗摄影为基础的远程皮肤科服务超过8000名患者在英国。
在城市环境中,为非两周等待的常规患者设计并实施了一种新的、存储转发的、完全数字化的远程皮肤病学(TD)途径。总共有8352名新患者在37个月内接受了TD咨询。其中,4748人(56.8%)被转回全科医生,1634人(19.6%)被直接转介进行外科手术,1970人(23.6%)被转介与皮肤科医生(F2F)面对面检查。TD预约的平均等待时间为3周,而常规F2F预约的平均等待时间为30周。2019年至2018年期间,TD转诊人数增加了38%,常规皮肤科转诊人数减少了16%,癌症转诊人数增加了6%。使用医学摄影师被证明是有效的,只有两例(0.02%)的图像质量不足以形成临床意见。到目前为止,当地调试小组的节余估计为671,218英镑。上一财政年度(2019-2020)节省了284,671英镑。每个TD患者预约平均节省的费用为80.36英镑。信托基金的间接费用节省了53,587英镑。对于相同数量的顾问计划活动,TD顾问审查的患者数量几乎是F2F的两倍。95%的被调查患者可能或极有可能向朋友和家人推荐这项服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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