Title : Patient and physician experience in the utilization of teledermatology in a tertiary government hospital in the philippines: A cross-sectional study
Abstract:
Introduction: In the face of the pandemic, various hospitals were driven to utilize teledermatology services even with little or no large-scale planning. In this context, it is likely that the service recipients and providers alike have experienced various challenges during the first two years of its integration in various health institutions. A number of studies support its efficiency, however, the acceptability and satisfaction among users are less documented.
Methodology: This study employed a single center analytical cross-sectional design to determine the experience in the utilization of teledermatology among patients and physicians.
Results: A total of 315 teledermatology patients and 14 dermatology residents were included. The average distance to care and travel time were at 194.61 km (±1153) and 182.87 (±330), respectively. The average direct and indirect cost saved were 672.62 (±1474) pesos and 738 (±1432) pesos, respectively. The results showed that those who reported to be satisfied with teledermatology reported farther distance from hospital, more travel time saved, and more direct and indirect costs saved. Majority of physicians were satisfied with the ease of communication and the convenience that teledermatology provided, and most were willing to continue the practice of teledermatology. However, most dermatology residents still preferred face-to-face consultations since it provided easier means to conduct physical examination as opposed to relying on pictures.
Conclusion: The high acceptability and satisfaction among patients and physicians utilizing teledermatology provides evidence that this modality can be integrated to complement traditional health service delivery in developing countries where access to dermatologic care remains a challenge. Ultimately, teledermatology can help solve health disparities even beyond the COVID-19 pandemic.
