Improved patient access and outcomes with the integration of an eConsult program (teledermatology) within a large academic medical center

Insurance, racial, and socioeconomic health disparities continue to pose significant challenges for access to dermatologic care. Studies applying teledermatology to increase access to underinsured individuals and ethnic minorities are limited. To determine how the implementation of a teledermatology...

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Bibliographic Details
Published in:Journal of the American Academy of Dermatology 2020-12, Vol.83 (6), p.1633-1638
Main Authors: Wang, Rebecca F., Trinidad, John, Lawrence, Jeffrey, Pootrakul, Llana, Forrest, L. Arick, Goist, Kevin, Levine, Edward, Nair, Shalina, Rizer, Milisa, Thomas, Andrew, Wexler, Randell, Kaffenberger, Benjamin H.
Format: Article
Language:English
Subjects:
Adult
Appointments and Schedules
Cross-Sectional Studies
Dermatology - methods
Dermatology - organization & administration
Dermatology - statistics & numerical data
e-Consult
electronic consultation
Female
health disparities
Health Plan Implementation
Health Services Accessibility - organization & administration
Health Services Accessibility - statistics & numerical data
Healthcare Disparities - statistics & numerical data
Hospitals, University - organization & administration
Hospitals, University - statistics & numerical data
Humans
Male
Middle Aged
Ohio
Program Evaluation
Remote Consultation - organization & administration
Remote Consultation - statistics & numerical data
Retrospective Studies
Skin Diseases - diagnosis
Skin Diseases - therapy
socioeconomic disparities
Socioeconomic Factors
teledermatology
telemedicine
Vulnerable Populations - statistics & numerical data
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Summary:Insurance, racial, and socioeconomic health disparities continue to pose significant challenges for access to dermatologic care. Studies applying teledermatology to increase access to underinsured individuals and ethnic minorities are limited. To determine how the implementation of a teledermatology program affects access to health care and patient outcomes. A cross-sectional evaluation was performed of all ambulatory dermatology referrals and electronic dermatology consultations (eConsults) at Ohio State University within a 25-month period. Compared with ambulatory referrals, eConsults served more nonwhite patients (612 of 1698 [36.0%] vs 4040 of 16,073 [25.1%]; P 
ISSN:0190-9622
1097-6787
DOI:10.1016/j.jaad.2019.10.053