Paediatric dermatology teleconsultations: a survey of healthcare professionals in the UK

Clin Exp Dermatol. 2023 Jul 7;48(7):785-789. doi: 10.1093/ced/llad120.

Abstract

The COVID-19 pandemic catapulted dermatology services into a digital era, with the rapid introduction of teleconsultations. The UK National Health Service operational planning guidance recommends ≥ 25% of consultations are delivered remotely. There is a lack of data regarding the acceptability and effectiveness of paediatric dermatology teleconsultations. We surveyed UK healthcare professionals (HCPs) to explore their experiences of teleconsultations in paediatric dermatology, with a focus on follow-up consultations for paediatric eczema (PE), to inform a future clinical trial. There were 119 responses. Pre-pandemic, 37% provided some form of teleconsultation service, rising to 92% post-pandemic. In total, 41% (n = 49) now carry out > 25% of consultations remotely. We found 55% felt teleconsultations were less effective than face-to-face ones for PE follow-up. Eighty HCPs offered teleconsultations for PE. Among the HPCs who offered teleconsultations for PE, the most effective format for follow-up consultations was felt to be telephone with photographs (52/80, 65%). Our results demonstrate varying opinion on the effectiveness and optimal format of paediatric teleconsultations, supporting the need for further research.

MeSH terms

  • COVID-19* / epidemiology
  • Child
  • Dermatology*
  • Eczema* / diagnosis
  • Eczema* / therapy
  • Humans
  • Pandemics
  • Remote Consultation* / methods
  • State Medicine
  • United Kingdom