Annemie Heselmans, Bert Aertgeerts, Koen Roegies, Hilde Beele, Evelien Verhaeghe, An De Sutter, Nicolas Delvaux
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The study implemented and evaluated a store-and-forward tele-dermatology system in the routine practice of Belgian family physicians and dermatologists.</p><p><b>Results.</b> A total of 320 family physicians and 43 dermatologists participated in the study. Analysis of remote consultations revealed a median response time of 24 h; 21% of patients needed an additional in-person consultation after the remote consultation. The majority of dermatologists (67.9%), family physicians (86.6%), and patients (81.4%) were generally satisfied with the service. A majority of the dermatologists agreed that there was sufficient clinical information in the electronic form (60.7%) and that the quality of the pictures was sufficient to allow correct decision making (57.1%). The family physicians had significantly higher percentages respectively, 84.5% and 71.8%. Dermatologists reported technical (73.9%) and organizational (43.5%) problems, whereas these percentages were statistically lower, respectively, 35.2% and 28.2% for the family physicians.</p><p><b>Conclusions.</b> The store-and-forward tele-dermatology system had the potential to allow a smooth transfer of high-quality dermatologic advice. Although there were differences between the dermatologists, the family physicians and the patients, general satisfaction with the system was high. There is a need for an extramural order management system in which the dermatologist could answer from his own electronic medical records.</p>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/2314602","citationCount":"0","resultStr":"{\"title\":\"Store-and-Forward Tele-Dermatology Pilot Study in Belgium: Patients and Physicians Satisfaction Study With Process Evaluation\",\"authors\":\"Annemie Heselmans, Bert Aertgeerts, Koen Roegies, Hilde Beele, Evelien Verhaeghe, An De Sutter, Nicolas Delvaux\",\"doi\":\"10.1155/ijcp/2314602\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><b>Background.</b> The use of telemedicine in dermatology is becoming more popular in Belgium and other countries as a result of increasing waiting lists. 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Store-and-Forward Tele-Dermatology Pilot Study in Belgium: Patients and Physicians Satisfaction Study With Process Evaluation
Background. The use of telemedicine in dermatology is becoming more popular in Belgium and other countries as a result of increasing waiting lists. The objective of this study was to analyze if tele-dermatology is a valuable alternative for in-person consultations with the dermatologist and to get insight into the content of the remote consultations, the use, the barriers, and the satisfaction with this system.
Methods. This study was a 1-year prospective pilot study in Belgium. The study implemented and evaluated a store-and-forward tele-dermatology system in the routine practice of Belgian family physicians and dermatologists.
Results. A total of 320 family physicians and 43 dermatologists participated in the study. Analysis of remote consultations revealed a median response time of 24 h; 21% of patients needed an additional in-person consultation after the remote consultation. The majority of dermatologists (67.9%), family physicians (86.6%), and patients (81.4%) were generally satisfied with the service. A majority of the dermatologists agreed that there was sufficient clinical information in the electronic form (60.7%) and that the quality of the pictures was sufficient to allow correct decision making (57.1%). The family physicians had significantly higher percentages respectively, 84.5% and 71.8%. Dermatologists reported technical (73.9%) and organizational (43.5%) problems, whereas these percentages were statistically lower, respectively, 35.2% and 28.2% for the family physicians.
Conclusions. The store-and-forward tele-dermatology system had the potential to allow a smooth transfer of high-quality dermatologic advice. Although there were differences between the dermatologists, the family physicians and the patients, general satisfaction with the system was high. There is a need for an extramural order management system in which the dermatologist could answer from his own electronic medical records.
期刊介绍：
IJCP is a general medical journal. IJCP gives special priority to work that has international appeal.
IJCP publishes:
Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion]
Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion]
Study design and interpretation. Example. [Always peer reviewed]
Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed]
Meta-analyses. [Always peer reviewed]
Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed]
Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed]
''How to…'' papers. Example. [Always peer reviewed]
Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed]
Letters. [Peer reviewed at the editor''s discretion]
International scope
IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.
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