Teledermatology: Quality assessment by user satisfaction and clinical efficiency

Itay Klaz, Yonit Wohl, Nir Nathansohn, Nir Yerushalmi, Sharon Sharvit, Ilan Kochba, Sarah Brenner*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background: The Israel Defense Forces implemented a pilot teledermatology service in primary clinics. Objectives: To assess user satisfaction and clinical short-term effectiveness of a computerized store and forward teledermatology service in urban and rural units. Methods: A multi-center prospective uncontrolled cohort pilot trial was conducted for a period of 6 months. Primary care physicians referred patients to a board-certified dermatologist using text email accompanied by digital photographs. Diagnosis, therapy and management were sent back to the referring PCP. Patients were asked to evaluate the level of the CSAFTD service, effect of the service on accessibility to dermatologists, respect for privacy, availability of drugs, health improvement and overall satisfaction. PCPs assessed the quality of the teledermatology consultations they received, the contribution to their knowledge, and their overall satisfaction. Results: Tele-diagnosis alone was possible for 95% (n=413) of 435 CSAFTD referrals; 22% (n=95) of referrals also required face-to-face consultation. Satisfaction with CSAFTD was high among patients in both rural and urban clinics, with significantly higher scores in rural units. Rural patients rated the level of service, accessibility and overall satisfaction higher than did urban patients. PCPs were satisfied with the quality of the service and its contribution to their knowledge. Rural physicians rated level of service and overall satisfaction higher than did urban physicians. Tele-referrals were completed more efficiently than referral for face-to-face appointments. Conclusions: CSAFTD provided efficient, high quality medical service to rural and urban military clinics in the IDF.

Original languageEnglish
Pages (from-to)487-490
Number of pages4
JournalIsrael Medical Association Journal
Issue number8
StatePublished - Aug 2005


  • Military medicine
  • Patient satisfaction
  • Quality of service
  • Store and forward
  • Teledermatology


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