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A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation
PURPOSE OF REVIEW: Telemedicine use in dermatology, termed “teledermatology”, offers a cost-effective model to improve healthcare efficiency and access. Only a minority of dermatology practices has integrated teledermatology into their practice prior to COVID-19. A thorough understanding of the barr...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7658914/ https://www.ncbi.nlm.nih.gov/pubmed/33200042 http://dx.doi.org/10.1007/s13671-020-00323-0 |
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author | Dovigi, Edwin Kwok, Elaine Yuen Ling English, Joseph C. |
author_facet | Dovigi, Edwin Kwok, Elaine Yuen Ling English, Joseph C. |
author_sort | Dovigi, Edwin |
collection | PubMed |
description | PURPOSE OF REVIEW: Telemedicine use in dermatology, termed “teledermatology”, offers a cost-effective model to improve healthcare efficiency and access. Only a minority of dermatology practices has integrated teledermatology into their practice prior to COVID-19. A thorough understanding of the barriers and facilitators may promote teledermatology adoption. Implementation science frameworks offer theoretically driven ways to assess factors affecting teledermatology implementation. This review uses a comprehensive implementation science framework to summarize barriers and facilitators of teledermatology implementation and appraises the quality of existing research. RECENT FINDINGS: Technological characteristics of teledermatology (e.g., user-friendliness) and factors within the outer setting (e.g., reimbursement and legal considerations) were the most commonly reported barriers. No existing studies use a comprehensive implementation framework to identify factors influencing teledermatology implementation. Many included studies have a risk of bias in at least two of the five study quality indices evaluated. SUMMARY: This systematic review is the first study to summarize the existing teledermatology implementation literature into well-defined constructs from a comprehensive implementation science framework. Findings suggest future studies would benefit from the use of an implementation framework to reduce study bias, improve result comprehensiveness, facilitate comparisons across studies, and produce evidence-based resolutions to implementation barriers. Tools, resources, and recommendations to facilitate the use of an implementation framework in future studies are provided. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s13671-020-00323-0. |
format | Online Article Text |
id | pubmed-7658914 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-76589142020-11-12 A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation Dovigi, Edwin Kwok, Elaine Yuen Ling English, Joseph C. Curr Dermatol Rep Teledermatology (D Oh, Section Editor) PURPOSE OF REVIEW: Telemedicine use in dermatology, termed “teledermatology”, offers a cost-effective model to improve healthcare efficiency and access. Only a minority of dermatology practices has integrated teledermatology into their practice prior to COVID-19. A thorough understanding of the barriers and facilitators may promote teledermatology adoption. Implementation science frameworks offer theoretically driven ways to assess factors affecting teledermatology implementation. This review uses a comprehensive implementation science framework to summarize barriers and facilitators of teledermatology implementation and appraises the quality of existing research. RECENT FINDINGS: Technological characteristics of teledermatology (e.g., user-friendliness) and factors within the outer setting (e.g., reimbursement and legal considerations) were the most commonly reported barriers. No existing studies use a comprehensive implementation framework to identify factors influencing teledermatology implementation. Many included studies have a risk of bias in at least two of the five study quality indices evaluated. SUMMARY: This systematic review is the first study to summarize the existing teledermatology implementation literature into well-defined constructs from a comprehensive implementation science framework. Findings suggest future studies would benefit from the use of an implementation framework to reduce study bias, improve result comprehensiveness, facilitate comparisons across studies, and produce evidence-based resolutions to implementation barriers. Tools, resources, and recommendations to facilitate the use of an implementation framework in future studies are provided. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s13671-020-00323-0. Springer US 2020-11-12 2020 /pmc/articles/PMC7658914/ /pubmed/33200042 http://dx.doi.org/10.1007/s13671-020-00323-0 Text en © Springer Science+Business Media, LLC, part of Springer Nature 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Teledermatology (D Oh, Section Editor) Dovigi, Edwin Kwok, Elaine Yuen Ling English, Joseph C. A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation |
title | A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation |
title_full | A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation |
title_fullStr | A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation |
title_full_unstemmed | A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation |
title_short | A Framework-Driven Systematic Review of the Barriers and Facilitators to Teledermatology Implementation |
title_sort | framework-driven systematic review of the barriers and facilitators to teledermatology implementation |
topic | Teledermatology (D Oh, Section Editor) |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7658914/ https://www.ncbi.nlm.nih.gov/pubmed/33200042 http://dx.doi.org/10.1007/s13671-020-00323-0 |
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