Clinical effectiveness and cost-effectiveness of teledermatology: Where are we now, and what are the barriers to adoption?

被引：75

作者：

Wang, Robin H. ^{[1
]}

Barbieri, John S. ^{[2
]}

Nguyen, Harrison P. ^{[3
]}

Stavert, Robert ^{[4
]}

Forman, Howard P. ^{[5
]}

Bolognia, Jean L. ^{[6
]}

Kovarik, Carrie L. ^{[2
]}

机构：

[1] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA

[2] Univ Penn, Perelman Sch Med, Dept Dermatol, Philadelphia, PA 19104 USA

[3] Emory Univ, Sch Med, Dept Dermatol, Atlanta, GA 30322 USA

[4] Beth Israel Deaconess Med Ctr, Dept Dermatol, Boston, MA 02215 USA

[5] Yale Univ, Dept Publ Hlth Hlth Policy Econ & Management, New Haven, CT USA

[6] Yale Sch Med, Dept Dermatol, New Haven, CT USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY | 2020年 / 83卷 / 01期

基金：

美国国家卫生研究院;

关键词：

teledermatology; store-and-forward; cost-effectiveness; barriers; reimbursement; medicolegal; health care costs; FORWARD TELEDERMATOLOGY; MINIMIZATION ANALYSIS; UNITED-STATES; CARE; DERMATOLOGY; ACCESS; PRIVACY; TRIAL;

D O I：

10.1016/j.jaad.2020.01.065

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

There has been rapid growth in teledermatology over the past decade, and teledermatology services are increasingly being used to support patient care across a variety of care settings. Teledermatology has the potential to increase access to high-quality dermatologic care while maintaining clinical efficacy and cost-effectiveness. Recent expansions in telemedicine reimbursement from the Centers for Medicare & Medicaid Services (CMS) ensure that teledermatology will play an increasingly prominent role in patient care. Therefore, it is important that dermatologists be well informed of both the promises of teledermatology and the potential practice challenges a continuously evolving mode of care delivery brings. In this article, we will review the evidence on the clinical and cost-effectiveness of teledermatology and we will discuss system-level and practice-level barriers to successful teledermatology implementation as well as potential implications for dermatologists.

引用

页码：299 / 307

页数：9

共 42 条

[1]

American Academy of Dermatology, POS STAT TEL

[2]

American Academy of Dermatology, DERMATOLOGY WORLD

[3]

[Anonymous], CURR STAT LAWS REIMB

[4] Effectiveness of Online vs In-Person Care for Adults With Psoriasis A Randomized Clinical Trial [J].

Armstrong, April W. ;

Chambers, Cindy J. ;

Maverakis, Emanual ;

Cheng, Michelle Y. ;

Dunnick, Cory A. ;

Chren, Mary-Margaret ;

Gelfand, Joel M. ;

Wong, David J. ;

Gibbons, Brittany M. ;

Gibbons, Caitlin M. ;

Torres, Josefina ;

Steel, Andrea C. ;

Wang, Elizabeth A. ;

Clark, Caitlin M. ;

Singh, Sanminder ;

Kornmehl, Heather A. ;

Wilken, Reason ;

Florek, Aleksandra G. ;

Ford, Adam R. ;

Ma, Chelsea ;

Ehsani-Chimeh, Nazanin ;

Boddu, Sucharita ;

Fujita, Mayumi ;

Young, Paulina M. ;

Rivas-Sanchez, Cesar ;

Cornejo, Brenda, I ;

Serna, Laura C. ;

Carlson, Eric R. ;

Lane, Christianne J. .

JAMA NETWORK OPEN, 2018, 1 (06)

[5] Patient-Centered, Direct-Access Online Care for Management of Atopic Dermatitis A Randomized Clinical Trial [J].

Armstrong, April W. ;

Johnson, Mary Ann ;

Lin, Steven ;

Maverakis, Emanual ;

Fazel, Nasim ;

Liu, Fu-Tong .

JAMA DERMATOLOGY, 2015, 151 (02) :154-160

[6] Practice Models and Challenges in Teledermatology: A Study of Collective Experiences from Teledermatologists [J].

Armstrong, April W. ;

Kwong, Mei W. ;

Ledo, Lynda ;

Nesbitt, Thomas S. ;

Shewry, Sandra L. .

PLOS ONE, 2011, 6 (12)

[7]

Barbieri J.S., 2015, DERMATOL ONLINE J, V21

[8] Evaluating the cost-effectiveness of teledermatology [J].

Barbieri, John S. ;

Yang, Xiaoshi ;

Kovarik, Carrie L. .

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2019, 81 (03) :765-766

[9] Inpatient and Tertiary Consultations in Teledermatology [J].

Barbieri J.S. ;

Kovarik C.L. .

Current Dermatology Reports, 2016, 5 (2) :83-89

[10]

Campagna M, 2017, Int J Womens Dermatol, V3, P176, DOI 10.1016/j.ijwd.2017.04.002

← 1 2 3 4 5 →