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Direct to Patient Synchronous Teledermatology During COVID-19 Pandemic.
Vaishampayan, Neil; Trupiano, Nicole; Goldberg, Rebecca; Zhang, Haihan; Tang, Michael; Chopra, Ahab; Castanedo-Tardan, Mari Paz; Renati, Sruthi; Tejasvi, Trilokraj.
Afiliação
  • Vaishampayan N; Department of Dermatology, University of Michigan, Ann Arbor, Michigan USA.
  • Trupiano N; Department of Dermatology, University of Michigan, Ann Arbor, Michigan USA.
  • Goldberg R; Department of Dermatology, Montefiore Albert Einstein Medical Center, New York, New York, USA.
  • Zhang H; Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.
  • Tang M; Department of Dermatology, University of Michigan, Ann Arbor, Michigan USA.
  • Chopra A; Department of Dermatology, University of Michigan, Ann Arbor, Michigan USA.
  • Castanedo-Tardan MP; Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
  • Renati S; Ann Arbor Veteran Affairs, Ann Arbor, Michigan, USA.
  • Tejasvi T; Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
Telemed J E Health ; 30(8): e2327-e2334, 2024 Aug.
Article em En | MEDLINE | ID: mdl-38752872
ABSTRACT

Background:

During the COVID-19 pandemic, teledermatology became a popular mode of health care delivery. Thus, deciphering which diagnoses are best suited for synchronous video visits is important to guide providers on appropriate patient care.

Methods:

We conducted a retrospective study of 1,647 submitted synchronous video visits from September 1, 2020 to March 31, 2021 at a single, large academic institution.

Results:

Video visits' follow-up rate was significantly associated with diagnosis subtype (p < 0.001). Compared with patients with skin lesions and nonskin dermatologic conditions, patients with a rash had higher odds of being recommended to have their follow-up visit as a video visit (odds ratio [OR] = 0.222, p < 0.001; OR = 0.296, p < 0.001). Patients with a rash had lower odds of being recommended to have their follow-up visit as an in-person office visit when compared with skin lesions (OR = 9.679, p < 0.001), nonskin dermatologic conditions (OR = 4.055, p < 0.001), and other skin dermatologic conditions (OR = 2.23, p < 0.01). Demographically, employed, middle-aged patients with private insurance made up the majority of video visit usage. African American patients were less likely to utilize a video visit compared with Asian patients (OR = 2.06, p < 0.038).

Conclusions:

Certain dermatologic diagnoses, most notably rashes, are more conducive to video visit management. Rashes made up 86% of new patient video visits, were more likely to have video visit follow-up if needed and were more likely to not require further follow-up indicating that the management of rashes from initial diagnosis to completion in care is suitable for video visit management.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dermatopatias / Telemedicina / Dermatologia / COVID-19 Limite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged Idioma: En Revista: Telemed J E Health Assunto da revista: INFORMATICA MEDICA / SERVICOS DE SAUDE Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dermatopatias / Telemedicina / Dermatologia / COVID-19 Limite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged Idioma: En Revista: Telemed J E Health Assunto da revista: INFORMATICA MEDICA / SERVICOS DE SAUDE Ano de publicação: 2024 Tipo de documento: Article