Dermatology is regarded as especially suitable for the application of
telemedicine because it relies to a large extent on visual information for
diagnosis and holds promise as an alternative means of delivering healthcare.
Interest in teledermatology has come at a time when there is an increased demand
for dermatological services and has been advocated as a mode of delivery that
may diminish inequalities in the provision of an overstretched service and
improve access to dermatological care. A qualitative case study based on
interviews and observations was undertaken to explore the perceptions of
stakeholders (nurses, patients, GPs, consultants) when interacting with a
nurse-led teledermatology service in primary care. The study found that the
delineation of roles and changing professional boundaries were important issues
for stakeholders. It has provided further evidence that teledermatology is more
than images and diagnostics.
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