General practitioners' perceptions of asynchronous telemedicine in a randomized controlled trial of teledermatology.

We studied the perceptions of general practitioners (GPs) towards teledermatology, before and after its introduction into eight general practices for the purposes of a randomized controlled trial. A postal questionnaire was distributed before the trial and again one year later. Thirty-six of the 42 GPs responded on each occasion (a response rate of 86%). In the second survey, only 21% of respondents indicated that they were satisfied with teledermatology in their practice, while 47% said that they were dissatisfied. Thirty-one per cent said that they felt confident about diagnosis and management of care through teledermatology, and 28% reported that they were unconfident. Only 23% of respondents said that they would consider using a telemedicine system in the future, while 34% said they would not (43% were unsure). There were no significant findings to suggest that the GPs' perceptions changed over time. Less favourable responses to telemedicine were found than has been observed in previous studies, which suggests that the model of telemedicine described in this study would not be widely acceptable to GPs.