Implementation science aids in improving the integration of evidence-based practices into routine dermatologic care. 

A new study published in the JMIR Dermatology aimed to: use validated tools of the implementation science to gain an in-depth understanding of teledermatology implementation during the coronavirus disease 2019 (COVID-19) pandemic – by describing the acceptability and feasibility of teledermatology implementation and acceptance of the implementation of teledermatology at the organization level, during the COVID-19 pandemic. 

This was a cross-sectional study that entailed the distribution of an anonymous, web-based survey distributed to members of the Association of Professors of Dermatology. 

Overall, 7% of the selected 518 dermatologists responded – who had all implemented or scaled up teledermatology during the pandemic. Eleven specialists exhibited the highest level of organizational readiness and also confirmed that they plan to continue using teledermatology post-pandemic. Most respondents agreed that they had sufficient training, financial resources and facilities; however, only 15 respondents agreed or strongly agreed on having adequate staffing support.

Synchronous audio and video visits with supplemental stored digital photos were deemed the most acceptable teledermatology modality by the majority, whereas, telephone visits without stored digital photos were reported as the least acceptable. While the types of visits deemed acceptable for synchronous video/audio visits were – new patients, existing patients, medication monitoring, total body skin exams and lesions of concern. Implementation of synchronous audio and video with stored digital photos and telephone visits with stored digital photos were thought to be the most feasible by the majority.

The findings indicate the utility of implementation of scientific research methods in the understanding of the application of novel technologies in dermatology. The results also provide insights on how dermatology practices and health care systems can help dermatologists in integrating teledermatology post-COVID.

Source: Briggs SM, Lipoff JB, Collier SM. Using implementation science to understand teledermatology implementation early in the COVID-19 pandemic: cross-sectional study. JMIR Dermatol. 2022;5(2):e33833.