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Barriers to establishing teledermatoscopy in primary health care in Sweden

Hernström, Nils LU and Ingvar, Åsa LU orcid (2024) In BMC Primary Care 25(1).
Abstract

Introduction: Teledermatoscopy (TDS) has proven to be effective and reliable for diagnosis of skin malignancies. The factors that determine the success of implementation of TDS are largely unknown. Objectives: To investigate barriers to implementation of TDS in primary health care (PHC) at center and individual level. Methods: Following introduction of TDS, cross-sectional quantitative data and free text comments were collected by surveys sent to PHC centers and PCH practitioners. Successful implementation was defined as regularly sent cases at center level and self-reported usage at individual level. Factors associated with implementation were evaluated with Chi-square, Kruskal-Wallis test and logistic regression. Results: 93/117... (More)

Introduction: Teledermatoscopy (TDS) has proven to be effective and reliable for diagnosis of skin malignancies. The factors that determine the success of implementation of TDS are largely unknown. Objectives: To investigate barriers to implementation of TDS in primary health care (PHC) at center and individual level. Methods: Following introduction of TDS, cross-sectional quantitative data and free text comments were collected by surveys sent to PHC centers and PCH practitioners. Successful implementation was defined as regularly sent cases at center level and self-reported usage at individual level. Factors associated with implementation were evaluated with Chi-square, Kruskal-Wallis test and logistic regression. Results: 93/117 (78.2%) of PHC centers and 239/725 (32.9%) of PHC practitioners answered the surveys. 54.8% (n = 51) of PHC centers and 64.3% (n = 153) of PHC practitioners had implemented TDS. There was a strong association between hardware arrival before introduction and TDS usage at center level (OR 6.0; 95% CI 1.5–24.3). At individual level, male sex was positively associated with usage (OR 1.9; 95%, CI 1.0–3.4), and for every year of increased age, the chance of using TDS decreased with 3% (OR 1.0, 95% CI 0.9–1.0). No other factor was associated with implementation. “Good” was the most common overall impression (54.8%), and the majority found no problems using the system (> 85%). The most common complaint was technical issues followed by no added value. Conclusions: Successful implementation of TDS was strongly associated with hardware arrival at center level, and to male sex and younger age at individual level. Satisfaction was overall high.

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Please use this url to cite or link to this publication:
author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Implementation, Primary care, Teledermatology, Teledermatoscopy
in
BMC Primary Care
volume
25
issue
1
article number
417
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85212430181
  • pmid:39690402
ISSN
2731-4553
DOI
10.1186/s12875-024-02678-w
language
English
LU publication?
yes
id
3be4fcd6-b6f9-46d2-82b0-ee89c78ab1c6
date added to LUP
2025-01-17 14:12:50
date last changed
2025-07-05 04:34:23
@article{3be4fcd6-b6f9-46d2-82b0-ee89c78ab1c6,
  abstract     = {{<p>Introduction: Teledermatoscopy (TDS) has proven to be effective and reliable for diagnosis of skin malignancies. The factors that determine the success of implementation of TDS are largely unknown. Objectives: To investigate barriers to implementation of TDS in primary health care (PHC) at center and individual level. Methods: Following introduction of TDS, cross-sectional quantitative data and free text comments were collected by surveys sent to PHC centers and PCH practitioners. Successful implementation was defined as regularly sent cases at center level and self-reported usage at individual level. Factors associated with implementation were evaluated with Chi-square, Kruskal-Wallis test and logistic regression. Results: 93/117 (78.2%) of PHC centers and 239/725 (32.9%) of PHC practitioners answered the surveys. 54.8% (n = 51) of PHC centers and 64.3% (n = 153) of PHC practitioners had implemented TDS. There was a strong association between hardware arrival before introduction and TDS usage at center level (OR 6.0; 95% CI 1.5–24.3). At individual level, male sex was positively associated with usage (OR 1.9; 95%, CI 1.0–3.4), and for every year of increased age, the chance of using TDS decreased with 3% (OR 1.0, 95% CI 0.9–1.0). No other factor was associated with implementation. “Good” was the most common overall impression (54.8%), and the majority found no problems using the system (&gt; 85%). The most common complaint was technical issues followed by no added value. Conclusions: Successful implementation of TDS was strongly associated with hardware arrival at center level, and to male sex and younger age at individual level. Satisfaction was overall high.</p>}},
  author       = {{Hernström, Nils and Ingvar, Åsa}},
  issn         = {{2731-4553}},
  keywords     = {{Implementation; Primary care; Teledermatology; Teledermatoscopy}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Primary Care}},
  title        = {{Barriers to establishing teledermatoscopy in primary health care in Sweden}},
  url          = {{http://dx.doi.org/10.1186/s12875-024-02678-w}},
  doi          = {{10.1186/s12875-024-02678-w}},
  volume       = {{25}},
  year         = {{2024}},
}