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Patient Satisfaction with the Veteran's Administration Teledermatology Service.

Patient Satisfaction with the Veteran's Administration Teledermatology Service.

Patient Satisfaction with the Veteran's Administration Teledermatology Service.

J Am Acad Dermatol. 2019 Jan 28;:

Authors: Baranowski MLH, Balakrishnan V, Chen SC

Abstract
BACKGROUND: Teledermatology is comparable to face-to-face visits in providing accurate diagnoses and effective treatments. However, there are limited data regarding patient satisfaction with teledermatology models that more directly convey provider recommendations to patients.
OBJECTIVE: To assess patient satisfaction with the teledermatology service at the Atlanta Veterans Affairs Medical Center (AVAMC).
METHODS: A cross-sectional, phone-based questionnaire study of 175 AVAMC teledermatology patients was performed to investigate patient satisfaction. Phase One (n=100) compared teleconsultative and models. Phase Two (n=75) compared patients who received one of three possible consult outcomes: (1) reassurance, (2) appointment for biopsy, or (3) appointment for face-to-face evaluation.
RESULTS: There were no statistically significant differences in satisfaction between patients who were seen with the telemedicine and teleconsultative models. Patients who received appointments for face-to-face evaluation or biopsy were more satisfied than patients who received reassurance only. Both phases were remarkable for high patient satisfaction among all cohorts.
LIMITATIONS: This study was performed at a single VA medical center and is vulnerable to both non-response bias and recall bias.
CONCLUSION: Overall, patients are satisfied with teledermatology services at the AVAMC. Strong partnership with referring primary care providers and clear delineation of responsibilities is vital to the teledermatology process.

PMID: 30703451 [PubMed - as supplied by publisher]

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