ePrints

Teledermatology in the U.K.: Lessons in service innovation

Lookup NU author(s): Dr Tracy Finch, Professor Carl May

Downloads

Full text for this publication is not currently held within this repository. Alternative links are provided below where available.

Abstract

Background: Teledermatology has the potential to revolutionize the delivery of dermatology services by facilitating access to specialist services at a distance. In the U.K. over the previous decade there have been numerous attempts at introducing and using teledermatology; however, the development of teledermatology as routine service provision remains limited. Objectives: To identify factors that promote successful use of teledermatology as a part of routine service provision. Methods: A longitudinal qualitative study of teledermatology, drawing on data from in-depth semistructured interviews; observations of systems in practice; and public meetings. Data were analysed collectively by the research team using established qualitative analytical techniques to identify key thematic categories. The sample consisted of teledermatology services within the U.K. (n = 12) studied over 8 years (1997-2005). Individual participants (n = 68 interviews) were consultant dermatologists, researchers, teledermatology nurses, administrators, patient advocates, general practitioners and technologists. Results: The analysis compared services that did or did not become part of routine healthcare practice to identify features that supported the normalization of teledermatology. Requirements for using and integrating teledermatology into practice included: political support; perceived benefit and relative commitment that outweighs effort; pragmatic approaches to proving efficacy and safety; perception of risk as being 'manageable' on the basis of professional judgement; high levels of flexibility in practice (in terms of individuals, technology and organization); and reconceptualizing professional roles. Conclusions: Successful implementation of teledermatology as a routine service requires greater understanding of and attention to the interplay between social and technical aspects of teledermatology, and how this is accommodated both by healthcare professionals and the organizations in which they work. © 2007 The Authors.

Publication metadata

Author(s): Finch TL, Mair FS, May CR

Publication type: Article

Publication status: Published

Journal: British Journal of Dermatology

Year: 2007

Volume: 156

Issue: 3

Pages: 521-527

Print publication date: 01/03/2007

ISSN (print): 0007-0963

ISSN (electronic): 1365-2133

Publisher: Wiley

URL: http://dx.doi.org/10.1111/j.1365-2133.2006.07608.x

DOI: 10.1111/j.1365-2133.2006.07608.x

PubMed id: 17300243

Altmetrics

Share