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Home > "H" Clinical Trials Conditions > Health Services Implications of a Teledermatology Consult System  Health Services Implications of a Teledermatology Consult System
Health Services Implications of a Teledermatology Consult System
For Condition: Dermatology
Status: Recruiting
Sponsor(s): Department of Veterans Affairs , Department of Veterans Affairs Health Services Research and Development Service
Synopsis: We have previously shown (IIR 95-045) that teledermatology, using store and forward technology, can result in reliable and accurate diagnostic outcomes when compared to clinic-based dermatology consultations. This investigation builds on that fundamental diagnostic information by assessing the health services implications of a teledermatology consult system. The primary objective of this study is to investigate health services outcomes related to teledermatology implementation. Outcomes of interest are the time to diagnosis and treatment initiation, the proportion of patients that avoid the need for a clinic-based encounter, and cost savings and cost effectiveness. This study is a randomized clinical trial that compares consultations performed by teledermatology with usual care dermatology consultations. Patients referred from the primary care clinics to the dermatology consult service are randomized to either usual care or a teledermatology consultation. In the usual care arm the consultant dermatologist reviews a text-based electronic consult and schedules the patient for a clinic visit. In the teledermatology arm, in addition to the electronic text-based consult, the consultant dermatologist reviews a digital image(s) and a standardized history. Patients in the teledermatology arm may be scheduled for a clinic visit or, alternatively, the consultant dermatologist may provide information and recommendations for the referring clinician to implement, thus avoiding the need for a dermatology clinic visit.
Details:
Eligibility:
Study Type: Interventional, Diagnostic, Randomized, Open Label, Active Control, Single Group Assignment, Efficacy Study
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Patients referred to Dermatology Consult Service.
Total Enrollment: 260
Location and Contact Information:
VA Medical Center *Recruiting*
Durham, North Carolina, 27705
United States
Recruiting John Whited 919-286-6936
VA Medical Center *Recruiting*
Durham, North Carolina, 27705
United States
Recruiting Eugene Oddone 919-286-6936
Additional Information:
Study ID Numbers: IIR 98-159;
Study Start Date: October 1999
Record last reviewed: October 2002
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00013234
Other Dermatology Studies:
1. Health Services Implications of a Teledermatology Consult System
Related Studies:
Other Dermatology Clinical Trials
Other North Carolina Clinical Trials
Other Durham Clinical Trials
Health Services Implications of a Teledermatology Consult System
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