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Trends in teledermatology utilization in the United States
Journal of Investigative Dermatology ; 142(8):S61, 2022.
Article in English | EMBASE | ID: covidwho-1956220
ABSTRACT

Background:

Teledermatology is an effective healthcare delivery model that has seen tremendous expansion over the last decade, which has been particularly pronounced during the Coronavirus Disease 2019 (COVID-19) pandemic.

Objective:

To better understand teledermatology utilization and patient demographic trends throughout the COVID-19 pandemic.

Methods:

National-level data were curated for all practices enrolled in the American Academy of Dermatology’s DataDerm registry from April 1, 2020, through June 30, 2021. Encounter utilization rates were collected for visit type (i.e., teledermatology versus in-person), sex, race, age, insurance provider, and location.

Results:

Data from up to 13,964,816 encounters across the United States were analyzed. Sex, race, age, insurance provider, and location were each found to have a significant association with telemedicine utilization (adjusted p<0.001). The proportion of women who utilized services via teledermatology (n=65,023, 66.0%) was greater than those who utilized in-person services (n=2,940,122, 58.3%). Non-white patients made up a higher percentage of teledermatology utilizers (n=8,920, 14.3%) when compared to in-person utilizers (n=394,680, 11.2%). Younger patients (age<40) contributed more to teledermatology service utilization (n=62,695, 83.2%) when compared to in-person services (n=1,329,218, 40.3%). Medicare and Private were larger payor contributors for in-person services (n=1,089,777, 25.2%;n=2712594, 62.6%) than for teledermatology services (n=8232, 5.4%;n=73940, 48.2%). Utilization by out-of-state patients was proportionally higher for teledermatology services (n=19,422, 14.6%) compared to in-person services (n=580,358, 4.2%).

Conclusions:

Teledermatology services may reach and benefit certain populations (females, younger patients, non-White races, out-of-state patients) more so than others.
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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of Investigative Dermatology Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of Investigative Dermatology Year: 2022 Document Type: Article