Teledermatology: A Comprehensive Overview

Description

This book offers a comprehensive and the foundational structure for all healthcare professionals developing, practicing, and performing research in teledermatology. The chapters of this book examines the field of  teledermatology and will include: platforms and practice models, the impact of COVID-19, the telehealth and mobile teledermatology industry, the effect on healthcare accessibility, equality, specialty referrals and no-show rates, cost effectiveness, implementation, regulations and reimbursement, practice guidelines, outcomes for skin lesions, inflammatory dermatoses, inpatient consultations and pediatrics, research utilization, education, image quality and artificial intelligence, global and international efforts as well as patient and physician satisfaction. Chapters are authored by leaders in the field of dermatology and teledermatology. The goal is for the reader to become knowledgeable and proficient within field of teledermatology to increase patient access, manage skin disease and develop beneficial outcomes via electronic consultations. Teledermatology: A Comprehensive Overview is a must-have resource for dermatologists, dermatology academic and hospital leadership, hospital administrators, and telehealth programs.  Preface Acknowledgments Contents 1: Teledermatology: Platforms Introduction Store-and-Forward Platforms Electronic Medical Record Native Platforms SAF Platforms for Dermatologists and Health Systems Direct-to-Consumer SAF Teledermatology Platforms Ad hoc SAF Teledermatology Platforms Live Interactive Teledermatology Platforms Electronic Medical Record (EMR) Native Platforms Standalone LI Telemedicine Platforms Direct-to-Consumer LI Teledermatology Platforms Ad hoc LI Teledermatology Platforms Conclusion References 2: Teledermatology: Practice Models Introduction Delivery Models Asynchronous Model Benefits Challenges Synchronous Delivery Model Benefits Challenges Hybrid Model Benefits Challenges Practice Models Triage Model Benefits Challenges Consultative Model Benefits Challenges Direct-Care Model Benefits Challenges Conclusion References 3: Teledermatology: During the COVID-19 Pandemic National Expansion of Telehealth in Response to COVID-19 Effectiveness of Telehealth During COVID-19 Synchronous and Asynchronous Teledermatology During COVID-19 Teledermatology Accessibility Challenges During COVID-19 Teledermatology Post-Pandemic References 4: Teledermatology: Access and Equity Introduction Barriers to Access Viability of Telemedicine in Vulnerable Populations Simplified Methods of Connectivity Increasing Access to Care Effect on Clinic Performance in the Safety-Net Special Populations Minority Populations Non-English Speakers Pediatric Dermatology Patients Elderly Populations Rural Populations Indian Reservations Incarcerated Patients Direct to Consumer Teledermatology Platforms: Promise and Pitfalls Emergency Implementation of Telemedicine During COVID-19 Surges in Low-Income Communities Optimization of Teledermatology in Vulnerable Populations Conclusion and Future Directions References 5: Teledermatology: Effects on Patient Referral and No-Show Introduction Impact of Teledermatology on Patient Referrals Synchronous Teledermatology Referrals Asynchronous Teledermatology Referrals No-Shows in Dermatology Impact of Teledermatology on Patient No-Show Synchronous Teledermatology Asynchronous Teledermatology Limitations Limitations of Synchronous Teledermatology Limitations of Asynchronous Teledermatology Hybrid Teledermatology Future Directions Conclusion References 6: Teledermatology: Economics and Cost-Effectiveness Introduction Healthcare Cost-Effectiveness Definitions Payor Structure Insurance Service Contract Out-of-Pocket Beneficiary Perspective Healthcare System Cost-Effectiveness Patient/Societal Cost-Effectiveness Cost Implications of the Two Major Models of Teledermatology: Store-and-Forward vs. Live Interactive Store-and-Forward Teledermatology Direct-to-Consumer Patient-to-Provider Provider-to-Provider Cost-Effectiveness of Store-and-Forward Teledermatology Costs Associated with Store-and-Forward Teledermatology Hardware and Software Personnel, Training, and Overhead Cost Savings Associated with Store-and-Forward Teledermatology Patient/Societal Perspective Healthcare System Perspective Live Interactive Teledermatology Cost-Effectiveness of Live Interactive Teledermatology Increased Costs Associated with Live Interactive Teledermatology Hardware and Software Personnel, Training, and Overhead Cost Savings Associated with Live Interactive Teledermatology Patient/Societal Perspective HealthCare System Perspective Future Considerations Conclusion References 7: Teledermatology: Implementation Introduction Frameworks Used to Guide Implementation Efforts Methods Barriers and Facilitators of Teledermatology Implementation Teledermatology Intervention Characteristics Outer Setting Inner Setting Characteristics of Individuals Process Summary References 8: Teledermatology: Legal and Regulatory Considerations Introduction Licensure Malpractice Coverage Privacy and Security Insurance Coverage and Reimbursement Conclusion References 9: Teledermatology: Clinical Practice Guidelines Introduction Teledermatology Clinical Practice Guidelines: Content Teledermatology Clinical Practice Guidelines: Appraisal Teledermatology Clinical Practice Guidelines: The Future References 10: Teledermatology: Outcomes for Skin Lesions Introduction Practical Applications Store-and-Forward Teledermatology for Skin Lesions Pigmented Versus Non-Pigmented Lesions Missed Skin Cancers Fitzpatrick Skin Type Store-and-Forward Teledermatology with Mobile Phones Teledermoscopy Image Quality Live Video Conferencing Long-Term Outcomes of Teledermatology Patient and Physician Satisfaction Conclusion References 11: Teledermatology: Inflammatory Skin Diseases Demographics and Access Evaluation and Management Outcomes Conclusion References 12: Inpatient Teledermatology: A Review Introduction Inpatient Teledermatology (IPTD) IPTD: Background IPTD: Covid IPTD: Mechanism of Action IPTD: Accuracy IPTD: Effectiveness IPTD: Cost-Effectiveness IPTD: Efficiency IPTD: Quality IPTD: Outcomes IPTD: Other Uses IPTD: Advantages and Disadvantages IPTD Reimbursement Conclusion References 13: Teledermatology: Pediatric Overview Diagnostic Concordance and Teledermatology Types of Teledermatology Family-Centered Care Socioeconomic Barriers To Access Teledermatology: Specific Conditions Acne Vulgaris Atopic Dermatitis Infantile Hemangiomas Inpatient Consultations Medical Education Conclusion References Further Reading 14: Teledermatology: Mohs Surgery Teledermatology Prior to Mohs Teledermatology Post-Mohs Surgery Challenges to Teledermatology Conclusion and Next Steps References 15: Teledermatology: Cosmetics Introduction Asynchronous Teledermatology Synchronous Teledermatology Optimization of the Patient Interaction Process Conclusion References 16: Teledermoscopy Introduction Digital Modalities and Platforms Used in Teledermoscopy Sequential Digital Dermatoscopic Imaging (SDDI) Machine Learning Digital Teledermoscopy Mobile Teledermoscopy Advantages Disadvantages Teledermoscopy in Skin of Color (SOC) Patients Limitations of Teledermoscopy Complex Melanocytic and Hypo- or Nonpigmented Lesions Skin Cancer Screening Other Limitations References 17: Teledermatopathology Introduction History of Digital Pathology How Does Digital Pathology Work? Advantages and Disadvantages of Digital Pathology Workflow Diagnostic Accuracy and Impact on Patient Care Consultations and Enhanced Patient Care Digital Tools for Quantitative Analysis and Improved Patient Care Digital Pathology and Pathologist Wellness Cost-Effectiveness of Digital Pathology Implementation Regulatory Requirements and Billing Compliance for Patient-Related Digital Pathology WSI in the United States Summary References 18: Artificial Intelligence and Teledermatology Introduction Applications Diagnosis Treatment Recommendation Outcome Prediction Image Quality Mobile AI for Teledermatology Clinical Validation Conclusion References 19: Teledermatology: Research Utilization Introduction Application of Teledermatology to Clinical Research Established Virtual Dermatology Clinical Trials Logistics Initial Setup Clinical Trial Teledermatology Visit Objective Assessment Limitations Future Directions Conclusion References 20: Teledermatology: Patient and Provider Satisfaction Introduction Defining and Measuring Satisfaction Satisfaction Among Patients Satisfaction Among Providers Satisfaction Across Clinical Scenarios Satisfaction Around the Globe Dissatisfaction and Concerns Providers Patients Conclusion References 21: Teledermatology: Resident Education/Conferencing Introduction Discussion Virtual Learning in Dermatologic Surgery and Cosmetic Dermatology Virtual Conferences in the Era of COVID-19 Teledermatology Training Drawbacks of Teledermatology in Resident Education Conclusion References 22: Teledermatology: International Introduction to International Teledermatology The Need for Borderless Dermatology The COVID-19 Pandemic Developed Countries and the Human Development Index North America Canada South America Chile Argentina Southeast Asia Singapore Malaysia East Asia China South Korea Japan South Asia India Western Asia Israel United Arab Emirates Saudi Arabia Turkey Oceania Australia New Zealand Northern Europe Norway Sweden Denmark Finland The United Kingdom Southern Europe Italy Portugal Spain Eastern Europe Hungary Poland Western Europe Switzerland Austria Belgium Germany France The Netherlands Limitations References 23: Global Teledermatology in Underdeveloped Countries Introduction TD Platforms and Methodologies in UDCs Social Media Cloud-Based Storage Platforms Telemedicine EMR Systems TD-Site-Specific Websites Characteristics for Sustainable TD in UDCs Barriers to Sustainable TD in UDCs Quantitative Variables to Measure TD Program Success Future Improvements of TD in UDCs Conclusion References 24: Teledermatology: Current Integration in Modern Healthcare Importance and Utility of Teledermatology Burden of Skin Disease Underserved Populations Shortage of Medical Dermatologists Current Models Model Characteristics and Requirements Store-and-Forward Versus Live-Interactive Models Model Preferences Teledermatology Delivery Methods: Consultative, Triage, and Direct-Care Models Teledermatology Technologies Mobile and Smartphone Devices Teledermoscopy Teledermatopathology Diagnostic Accuracy/Concordance and Patient Satisfaction Effect of COVID-19 Technical, Legal, and Ethical Limitations References Index