A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation

Current Dermatology Reports
Edwin DovigiJoseph C English

Abstract

Telemedicine use in dermatology, termed "teledermatology", offers a cost-effective model to improve healthcare efficiency and access. Only a minority of dermatology practices has integrated teledermatology into their practice prior to COVID-19. A thorough understanding of the barriers and facilitators may promote teledermatology adoption. Implementation science frameworks offer theoretically driven ways to assess factors affecting teledermatology implementation. This review uses a comprehensive implementation science framework to summarize barriers and facilitators of teledermatology implementation and appraises the quality of existing research. Technological characteristics of teledermatology (e.g., user-friendliness) and factors within the outer setting (e.g., reimbursement and legal considerations) were the most commonly reported barriers. No existing studies use a comprehensive implementation framework to identify factors influencing teledermatology implementation. Many included studies have a risk of bias in at least two of the five study quality indices evaluated. This systematic review is the first study to summarize the existing teledermatology implementation literature into well-defined constructs from a comprehensive ...Continue Reading

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Citations

Mar 27, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Edwin DovigiTrilokraj Tejasvi
Jun 3, 2021·International Journal of Environmental Research and Public Health·Pavani RangachariKrista Herbert

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