Vestergaard Tine, Andersen Merethe K, Bygum Anette
Department of Dermatology and Allergy Centre & Odense Patient Data Explorative Network, Odense University Hospital, Odense, Denmark.
Audit Project Odense, Research Unit of General Practice, University of Southern Denmark, Odense, Denmark.
Dermatol Pract Concept. 2021 Apr 12;11(2):e2021033. doi: 10.5826/dpc.1102a33. eCollection 2021 Mar.
Teledermoscopy can be used to triage referrals of suspected skin cancers, thereby reducing waiting time and number of face-to-face consultations with a dermatologist. However, the success of the implementation of this technology in part relies on the acceptance of the providers.
This study assessed the attitudes towards teledermoscopy of referring general practitioners and consultant dermatologists.
General practitioners from 48 practices and 3 dermatologists in the region of Southern Denmark, who had previous experience with teledermoscopy, were invited to answer questionnaires on their acceptance of the technology.
General practitioners from 23 practices responded. All domains of the questionnaire received high scores, indicating a high degree of acceptance of teledermoscopy among respondents. All 3 dermatologists agreed that teledermoscopy was useful for triaging referrals, but they were less confident in their diagnoses and management plans proposed by teledermoscopy than in traditional face-to-face evaluations of patients. Two of the 3 dermatologists were satisfied with using teledermoscopy as a consult method.
This study reports high levels of provider acceptance of teledermoscopy. However, a low response rate among general practitioners may limit its generalizability.
皮肤镜检查可用于对疑似皮肤癌的转诊进行分流，从而减少等待时间以及与皮肤科医生面对面会诊的次数。然而，这项技术实施的成功部分依赖于医疗服务提供者的接受程度。
本研究评估了转诊的全科医生和皮肤科顾问医生对皮肤镜检查的态度。
邀请了丹麦南部地区48家诊所的全科医生以及3名有皮肤镜检查经验的皮肤科医生回答关于他们对该技术接受程度的问卷。
来自23家诊所的全科医生做出了回应。问卷的所有领域得分都很高，表明受访者对皮肤镜检查接受程度很高。所有3名皮肤科医生都认为皮肤镜检查对转诊分流有用，但他们对皮肤镜检查提出的诊断和管理计划的信心不如对患者进行传统面对面评估时高。3名皮肤科医生中有2名对将皮肤镜检查用作会诊方法感到满意。
本研究报告称医疗服务提供者对皮肤镜检查接受程度很高。然而，全科医生的低回复率可能会限制其普遍性。
