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Abstract

French

Background:

The scarcity of dermatologists has prompted the creation of innovative methods for delivering dermatologic care.

Methods:

Teletriage is a method used in teledermatology to efficiently assess skin complaints in patients who do not have prompt access to conventional dermatologic care. Their primary care clinicians are provided with management recommendations, reassured that the lesion of concern is benign, or recommended to send their patient for a face-to-face dermatology visit. The Providence VA Medical Center conducted a pilot program testing the utility of teletriage for patients with skin complaints from June 2011 to August 2011.

Results:

The pilot program revealed that with the teletriage protocol, face-to-face visits were reduced by 38%. This program suggests that teletriage could be a useful tool for providing efficient dermatologic care, and has led to broader implementation.

Conclusion:

Teletriage is a potentially useful approach for efficiently addressing specific dermatologic complaints and improving access to care for those complaints.

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References

Armstrong

Kovarik

. State of teledermatology programs in the United States. J Am Acad Dermatol 2012;67:939–44, doi:10.1016/j.jaad.2012.02.019.

Whited

. Teledermatology research review. Int J Dermatol 2006;45:220–9, doi:10.1111/j.1365-4632.2004.02427.x.

Weinstock

Nguyen

Risica

. Patient and provider satisfaction with teledermatology. J Am Acad Dermatol 2002;47:68–72, doi:10.1067/mjd.2002.119666.

Kantor

. Routine dermatologist-performed full-body skin examination and early melanoma detection. Arch Dermatol 2009;145:873–6, doi:10.1001/archdermatol.2009.137.

Screening for skin cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2009;150:188–93, doi:10.7326/0003-4819-150-3-200902030-00008.

Teletriage for Provision of Dermatologic Care