What do Australian dermatologists expect to be paid for store-and-forward teledermoscopy? A preliminary investigation

Snoswell, Centaine L, Whitty, Jennifer A, Caffery, Liam J, Finnane, Anna and Soyer, H Peter (2019) What do Australian dermatologists expect to be paid for store-and-forward teledermoscopy? A preliminary investigation. Journal of Telemedicine and Telecare, 25 (7). pp. 438-444. ISSN 1357-633X

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Abstract

Introduction: Determining appropriate remuneration for teledermoscopy service is important because inadequate remuneration can be a barrier to practitioner uptake and participation. This study explores dermatologist remuneration expectations for a single lesion store-and-forward teledermoscopy consultation. Methods: Fourteen dermatologists participated in telephone interviews during May–June 2017. Questions regarding remuneration focused on a clinical scenario involving teledermoscopy of a single lesion suspected to be skin cancer. The initial scenario was an existing patient, with a provisional diagnosis of benign neoplasm from the images, to be followed-up with routine skin checks, taking three minutes to review. Participants indicated their remuneration expectation by selecting from an ascending array of pre-determined remuneration ranges. The question was repeated a further four times with one aspect of the scenario changed each time; consultation length, source (patient or general practitioner), required follow-up, and a new rather than existing patient. Participants were also asked how appropriate they thought teledermoscopy was for the scenario, and whether they would choose to undertake the consultation presented. Results: Nine dermatologists selected the AU$61–90 or AU$91–120 remuneration ranges for the initial scenario. When given the opportunity to comment on teledermoscopy service provision in Australia, respondents reflected that it was a valuable, advanced dermatology service, but they would prefer face-to-face consultation with patients where possible to allow for a full body examination. Discussion: Dermatologists expect to be remunerated in the range of AU$61–120 for a single lesion store-and-forward teledermoscopy consultation when face-to-face examination is not possible.

Item Type: Article
Uncontrolled Keywords: teledermoscopy,dermatology,remuneration,healthcare financing,health services
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 31 Aug 2018 14:32
Last Modified: 22 Jul 2020 02:22
URI: https://ueaeprints.uea.ac.uk/id/eprint/68175
DOI: 10.1177/1357633X18776766

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