Access to Dermatological Care with an Innovative Online Model for Psoriasis Management: Results from a Randomized Controlled Trial

Adam R. Ford, Caitlin M. Gibbons, Josefina Torres, Heather A. Kornmehl, Sanminder Singh, Paulina M. Young, Cynthia Chambers, Emanual Michael Maverakis, Cory A. Dunnick, April W. Armstrong

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Background: Many patients with chronic skin diseases lack regular access to dermatologists in the United States and suffer poor clinical outcomes. Introduction: We performed a 12-month randomized controlled trial to evaluate the impact of an online, collaborative connected health (CCH) model for psoriasis management on access to specialty care. Materials and Methods: The 300 enrolled patients were randomized to online or in-person care. We compared distance traveled as well as transportation and in-office waiting time between the two groups and obtained patient and provider perspectives on CCH. Results: At baseline, no differences existed between the groups in difficulties obtaining specialty care. Over 12 months, the mean (standard deviation [SD]) distance traveled to and from appointments was 174.8 (±577.4) km/person for the in-person group and 2.2 (±14.2) km/person for the online group (p = 0.0003). The mean (SD) time spent on transportation and in-office waiting for in-person appointments was 4.0 (±4.5) h/person for the in-person group and 0.1 (±0.4) h/person for the online group (p = 0.0001). Patients found CCH to be safe, accessible, equitable, efficient, effective, and patient-centered. Providers found CCH to be useful for providing psoriasis care. Discussion: The CCH model resulted in significantly less distance traveled as well as transportation and in-office waiting time compared to in-person care. Both patients and providers were highly satisfied with CCH. Conclusions: The CCH model resulted in increased access to specialty care and enabled patient-centered, safe, and effective management of psoriasis patients.

Original languageEnglish (US)
Pages (from-to)619-627
Number of pages9
JournalTelemedicine and e-Health
Volume25
Issue number7
DOIs
StatePublished - Jul 1 2019

    Fingerprint

Keywords

  • dermatology
  • teledermatology
  • telehealth
  • telemedicine

ASJC Scopus subject areas

  • Health Informatics
  • Health Information Management

Cite this

Ford, A. R., Gibbons, C. M., Torres, J., Kornmehl, H. A., Singh, S., Young, P. M., Chambers, C., Maverakis, E. M., Dunnick, C. A., & Armstrong, A. W. (2019). Access to Dermatological Care with an Innovative Online Model for Psoriasis Management: Results from a Randomized Controlled Trial. Telemedicine and e-Health, 25(7), 619-627. https://doi.org/10.1089/tmj.2018.0160