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首页> 外文期刊>Telemedicine and e-health: the official journal of the American Telemedicine Association >Impact of Direct to Consumer Store-and-Forward Teledermatology on Access to Care, Satisfaction, Utilization, and Costs in a Commercial Health Plan Population
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Impact of Direct to Consumer Store-and-Forward Teledermatology on Access to Care, Satisfaction, Utilization, and Costs in a Commercial Health Plan Population

机译：直接向消费者店和前进的Telepermatology在商业健康计划人口中获得护理，满意度，利用和成本的影响

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Purpose: Store-and-forward teledermatology can improve access to dermatology by enabling asynchronous consults. This study assesses it on access, satisfaction, utilization, and costs in a commercial health plan setting. Methodology: In this prospective observational study with matched control, 47,411 individuals were provided access to teledermatology services staffed by board-certified, licensed dermatologists for 6 months. Two hundred forty-three individuals used the service. One hundred fifty-two participants successfully matched to similar users of in-person services for comparison. Average number of dermatology-related visits and dermatology-related costs in 30, 60, and 90 days postvisit, most frequent diagnoses, time to consult, patient satisfaction, and number of procedures were measured. Results: Average time to consult for the teledermatology group was 16.31?h. Patient satisfaction was 4.38/5. Total dermatology utilization in the postvisit period for the teledermatology and the control groups respectively was 9 and 21 visits at 30 days ( p ?=?0.074), 15 and 46 visits at 60 days ( p ?=?0.005), and 26 and 74 at 90 days ( p ?=?0.001). The dermatology-related spend for the teledermatology and control groups, respectively, was $59 and $113 on the day of the initial consult ( p p ?=?0.03), $78 and $ 221 for 60 days ( p ?=?0.02), and $86 and $307 for 90 days ( p ?=?0.08) following initial visit. Total number of procedures conducted in the control group at the index visit was 26. In the postvisit period, the total number of procedures in the study and control groups, respectively, were 5 and 15 at 30 days ( p ?=?0.053), 10 and 26 at 60 days ( p ?=?0.088), and 14 and 32 at 90 days ( p ?=?0.082). Conclusions: Teledermatology services are accessible within hours and associated with high patient satisfaction. There is no evident increased utilization or costs postvisit.
机译：目的：存储和前进的Telepermatology可以通过启用异步咨询来改善对皮肤科的访问。本研究评估了商业健康计划环境中的访问，满意度，利用和成本。方法论：在这种匹配控制的前瞻性观测研究中，47,411个个人提供了由董事会认证的持牌皮肤科医生提供的秘密医疗服务6个月。二百四十三个人使用该服务。一百五十二名参与者成功匹配到类似用户的服务用户进行比较。在30,60和90天后平均皮肤病学相关的访问和皮肤科相关费用，测量了最常用的诊断时间，探索，患者满意度和程序数量。结果：咨询Telepermatology Group的平均时间为16.31？h。患者满意度为4.38 / 5。 Telepermatology和对照组的后期Pertvisit期间的总皮肤学利用分别为9天和21步，在60天（P？= 0.005），15和46访问（P？= 0.005）和26和74在90天（p？= 0.001）。初步谘询分别为Telepermatology和对照组的皮肤病学相关的支出分别为59美元和113美元（PP？=？0.03），78美元和221美元持续60天（P？= 0.02），以及86美元初步访问后，90天为307美元（p？= 0.08）。在指数访问中对照组进行的程序总数为26.在后期期间，研究和对照组的总程序总数分别为5和15次（P？= 0.053）， 10和26在60天（p？= 0.088），14和32，在90天（p？= 0.082）。结论：在几小时内提供Telepermatology服务，并与高病患满意度相关联。没有明显的利用率或成本后期。

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