Patient satisfaction with teledermatology is related to perceived quality of life
Article first published online: 23 DEC 2001
British Journal of Dermatology
Volume 145, Issue 6, pages 911–917, December 2001
How to Cite
Williams, T.L., May, C.R., Esmail, A., Griffiths, C.E.M., Shaw, N.T., Fitzgerald, D., Stewart, E., Mould, M., Morgan, M., Pickup, L. and Kelly, S. (2001), Patient satisfaction with teledermatology is related to perceived quality of life. British Journal of Dermatology, 145: 911–917. doi: 10.1046/j.1365-2133.2001.04472.x
- Issue published online: 23 DEC 2001
- Article first published online: 23 DEC 2001
- Accepted for publication 24 July 2001
- Dermatology Life Quality Index;
- patient satisfaction;
- quality of life;
Background There is a lack of good data about patient satisfaction with teledermatology and about its potential interaction with quality-of-life factors.
Objectives To assess the association between perceived skin-related quality of life and patient satisfaction with a nurse-led teledermatology service.
Methods In a mobile nurse-led teledermatology clinic located in four inner city general practices in Manchester, the teledermatology service used digital cameras to capture and store images of skin conditions for remote diagnosis by dermatologists. One hundred and twenty-three adult patients, non-urgent dermatology referrals from primary care, completed the Dermatology Life Quality Index (DLQI) and a 15-item patient satisfaction questionnaire.
Results In common with other studies of patient satisfaction, subjects reported highly favourable views of ‘hotel’ aspects of the service (93%) and found it ‘convenient’ (86%). However, 40% of patients would have preferred to have had a conventional face-to-face consultation with a dermatologist, and 17% felt unable to speak freely about their condition. Patient satisfaction with the service was related to quality of life. Patients reporting lower quality of life as measured by the DLQI were more likely to prefer a face-to-face encounter with a dermatologist (r = 0·216, P < 0·05), and to evince anxiety about being photographed (r = 0·223, P < 0·05).
Conclusions Patient acceptance and satisfaction with telemedicine services is complicated by patients' subjective health status. Telehealthcare providers need to recognize that patients with poor quality of life may want and benefit from face-to-face interaction with expert clinicians.