Telemedicine Versus Teledermatology Usage and Perception Among US-Based Physicians: A Survey Study

November 2023 | Volume 22 | Issue 11 | e4 | Copyright © November 2023


Published online October 19, 2023

Maham Ahmad BAa*, Justin W. Marson MDb*, Graham H. Litchman DO MSc, Danny Zakria MD MBAd, Clarence Kong MDe, Sara Perkins MDa, Jennifer Bepple MDf, Reed Berger MD PNSg, James DuRant MDh, Kelly Hagerich MD MPHi, Nicolas Kahl MDj, Laika Simeon-Thompson MDk, Brian McSteen MDl, Adesuwa Okesanya MDm, Nathan Yung MD MSn, Darrell S. Rigel MD MSo

aDepartment of Dermatology, Yale University School of Medicine, New Haven, CT 
bDepartment of Dermatology, SUNY Downstate Health Sciences University, Brooklyn, NY
cDepartment of Dermatology, St. John’s Episcopal Hospital, Far Rockaway, NY
dNational Society for Cutaneous Medicine, New York, NY 
eDepartment of Emergency Medicine, Zucker School of Medicine at Hofstra/Northwell at Long Island Jewish Medical Center, New Hyde Park, NY
fChesapeake Urology, Baltimore, MD
gDepartment of Medicine, University of Illinois Health, Chicago, IL
hNovant Health – Developmental and Behavioral Pediatrics, Charlotte, NC
iVA San Diego Healthcare System, San Diego, CA
jDepartment of Emergency Medicine, University of California San Diego Health, San Diego, CA
kDepartment of Psychiatry, Zucker School of Medicine at Hofstra/Northwell at Zucker Hillside Hospital, New Hyde Park, NY
lDepartment of Internal Medicine, Weill Cornell Medical Center, New York, NY
mSummit Health, Berkeley Heights, NJ
nDepartment of Internal Medicine, University of California San Diego Health, San Diego, CA
oDepartment of Dermatology, Mt. Sinai Icahn School of Medicine, New York, NY

*Co-First Authors



advantages.  Results did not vary based on surgical versus non-surgical specialties. Across all respondents, the highest-ranked barriers to telemedicine included limitations to patient assessments/physical exams, technological barriers to access, and concerns about reimbursement. Dermatologists were significantly more likely to rate limitations to physical exams as the largest barrier. Among non-adopters, technological barriers and insufficient training were noted as challenges to telemedicine adoption. Telemedicine has had significant implications for patient care after its wide adoption after the COVID-19 pandemic.6-8 Our study suggests that physicians who started using telemedicine before versus after the pandemic varied based on the US region, with the South and West leading in its use before the pandemic began. This suggests that there may have been utility in telemedicine use in rural areas of the country with broadband access but a larger physical distance from clinic sites. Furthermore, the length of practice was associated with significant differences