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Teledermatology Consultations Provide Specialty Care for Farmworkers in Rural Clinics

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Title: Teledermatology Consultations Provide Specialty Care for Farmworkers in Rural Clinics
Language: English
Authors: Vallejos, Quirina M., Quandt, Sara A., Feldman, Steven R., Fleischer, Alan B., Brooks, Thanh, Cabral, Gonzalo, Heck, Judy, Schulz, Mark R., Verma, Amit, Whalley, Lara E., Arcury, Thomas A.
Source: Journal of Rural Health. Spr 2009 25(2):198-202.
Availability: Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA/
Peer Reviewed: Y
Page Count: 5
Publication Date: 2009
Document Type: Journal Articles
Reports - Evaluative
Descriptors: Medical Services, Physicians, Diseases, Patients, Clinics, Rural Areas, Telecommunications, Specialists, Consultants, Allied Health Personnel, Nurses
Geographic Terms: North Carolina
DOI: 10.1111/j.1748-0361.2009.00218.x
ISSN: 0890-765X
Abstract: Context: Rural patients have limited access to dermatologic care. Farmworkers have high rates of skin disease and limited access to care. Purpose: This exploratory study assessed whether teledermatology consultations could help meet the needs of health care providers for farmworkers in rural clinics. Methods: Dermatologists provided 79 consultations, using store-and-forward teledermatology, to farmworkers who presented with a skin disease to rural North Carolina clinics. Clinic providers rated the value of the consultation. Findings: Most requests for consultations (94%) came from family nurse practitioners or physician assistants. Twelve percent of consultations were rated somewhat helpful, and the remainder helpful or very helpful. After receiving the consultation, providers changed the diagnosis in 13% of cases. The consultation led providers to contact or attempt to contact 21% of patients to change treatment recommendations. Conclusions: Access to expert dermatologic services is needed by rural health care providers. Teledermatology consultations may be a helpful tool to meet this need.
Abstractor: As Provided
Number of References: 26
Entry Date: 2009
Accession Number: EJ862462
Database: ERIC
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  Data: Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA/
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  Data: 10.1111/j.1748-0361.2009.00218.x
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  Data: 0890-765X
– Name: Abstract
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  Data: Context: Rural patients have limited access to dermatologic care. Farmworkers have high rates of skin disease and limited access to care. Purpose: This exploratory study assessed whether teledermatology consultations could help meet the needs of health care providers for farmworkers in rural clinics. Methods: Dermatologists provided 79 consultations, using store-and-forward teledermatology, to farmworkers who presented with a skin disease to rural North Carolina clinics. Clinic providers rated the value of the consultation. Findings: Most requests for consultations (94%) came from family nurse practitioners or physician assistants. Twelve percent of consultations were rated somewhat helpful, and the remainder helpful or very helpful. After receiving the consultation, providers changed the diagnosis in 13% of cases. The consultation led providers to contact or attempt to contact 21% of patients to change treatment recommendations. Conclusions: Access to expert dermatologic services is needed by rural health care providers. Teledermatology consultations may be a helpful tool to meet this need.
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