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Journal of the American Academy of Dermatology
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le mercredi 5 février 2020
Doi : 10.1016/j.jaad.2019.07.013
accepted : 3 July 2019
Inpatient teledermatology: Current state and practice gaps
 

Emily A. Weig, MD a, Rechelle Tull, MD b, Jina Chung, MD c, Karolyn A. Wanat, MD d,
a University of Iowa Carver College of Medicine, Iowa City, Iowa 
b Department of Dermatology, Wake Forest Baptist Health, Winston-Salem, North Carolina 
c Department of Dermatology, University of Iowa Hospital and Clinics, Iowa City, Iowa 
d Department of Dermatology, Medical College of Wisconsin, Milwaukee, WI 

Reprint requests: Karolyn A. Wanat, MD, 8701 W Watertown Plank Rd, Milwaukee, WI 53226.8701 W Watertown Plank RdMilwaukeeWI53226
Abstract
Background

Inpatient dermatology care can be challenging for dermatologists. Currently teledermatology is widely used in the outpatient setting but is not common in the inpatient setting, although it has the potential to reduce wait times and improve access to care.

Objective

To review the available literature on inpatient teledermatology, assess how teledermatology is currently being used in the inpatient setting, and recommend best practice use of inpatient teledermatology.

Methods

A literature review was performed and dermatology attending physicians were surveyed at the Society for Dermatology Hospitalists annual meeting about their current use of inpatient teledermatology.

Results

The majority of attending physicians (80.8%, n = 21/26) responded that their institution uses some form of teledermatology. Approximately half of those using teledermatology used it for both inpatient and outpatient consultations (55%, n = 11/20). For institutions with inpatient teledermatology, attending physicians used teledermatology to remotely staff inpatient consultations (81.8%, n = 9/11), triage consultations (63.6%, n = 7/11), and answer curbside questions from primary teams (18.2%, n = 2/11).

Limitations

The limitations of this study include a limited sample size from a single meeting.

Conclusion

Inpatient teledermatology is currently under-utilized has the potential to increase access to dermatology care and may be best used for triaging and remote staffing. Additionally, standardization of platforms and reimbursement would allow for increased use of inpatient teledermatology.

The full text of this article is available in PDF format.

Key words : consultative dermatology, inpatient dermatology, reimbursement, standardized platform, teledermatology, triage

Abbreviation used : EMR



 Funding sources: None.
 Conflicts of interest: None disclosed.



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