Primary care provider and imaging technician satisfaction with a teledermatology project in rural Veterans Health Administration clinics.
OBJECTIVE
Assessment of a multisite rural teledermatology project between 2009 and 2012 in four Pacific Northwest states that trained primary care providers and imaging technicians in state-of-the-art techniques of telemedicine.


METHODS
In 2012, we assessed provider and imaging technician acceptability and satisfaction with a 32-item survey instrument based on the Patient Satisfaction Questionnaire developed by Ware et al. (Eval Program Plann 1983;6:247-63) and modified for telemedicine by Kraai et al. (J Card Fail 2011;17:684-690). Survey questions covered eight satisfaction domains: interpersonal manner, technical quality, accessibility, finances, efficacy, continuity, physical environment, and availability.


RESULTS
Overall, 71% of the primary care providers and 94% of the imaging technicians reported being satisfied or extremely satisfied with the teledermatology project. Most (95%) providers found the continuing education classes on dermatology diagnosis and treatment topics useful, and 86% reported teledermatology was a good addition to regular patient services. Most (97%) of the imaging technicians were satisfied with the ability of teledermatology to improve the description of dermatology conditions using images of the lesions or rashes, and 91% were satisfied with the convenience of teledermatology. Challenges reported by both providers and imaging technicians include an increase in workload due to more patient visits related to dermatology care and limited information technology support.


CONCLUSIONS
Given the Veterans Health Administration's initiatives to promote accessible health care to underserved Veterans using telehealth, these findings can inform future program designs for teledermatology.
1 Health Services Research and Development , VA Puget Sound Health Care System, Department of Veterans Affairs, Seattle, Washington.
Lynne V
LV
McFarland
Gregory J
GJ
Raugi
Gayle E
GE
Reiber
D000328:Adult; D001291:Attitude of Health Personnel; D003880:Dermatology / Q000193:education* / Q000379:methods*; D005260:Female; D006297:Health Services Accessibility; D006787:Hospitals, Veterans; D006801:Humans; D008297:Male; D015205:Northwestern United States; D011320:Primary Health Care; D019114:Remote Consultation; D019035:Rural Health Services / Q000458:organization & administration*; D012424:Rural Population; D011795:Surveys and Questionnaires; D013679:Technology, Radiologic / Q000193:education*; D017216:Telemedicine / Q000458:organization & administration*; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans