Factors contributing to success or failure of teledermatology services

Success

Failure

Adequate resources:

Clinical staff time for teleservice

Follow up time for patients arising from teledermatology

No time to deal with teledermatology material

Motivation in primary care

No motivation in primary care

Factors facilitating process in primary care:

Dermatology nurse

Free equipment for GPs (will only help initially)

Immediate dividend to GP – clinical help

personal list system

integrated with GP IT systems

Patient disinterest:

Not convenient to have special visits for photography plus further visits for feedback

Preference for active interaction and questioning with consultant

No geographical benefit to being seen in primary care vs hospital

 

High follow up rate at hospital following teledermatology

Good communication with GPs concerning mechanism of GP access to service

Lack of good communication with GPs