{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:34:26Z","timestamp":1767652466926,"version":"3.33.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The shortage of dermatologists in rural and regional Australia is acutely felt in north Queensland where the population experiences a leading burden of skin cancer and tropical dermatoses. Store\u2010and\u2010forward teledermatology (SAFT) is recognised as a potential solution to improve accessibility of dermatology specialist care in rural communities. eConsult (a SAFT service) was piloted for the broader Townsville community in 2022. Evaluation was necessary to ensure wider implementation would meet stakeholder needs and improve patient care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate clinician perspectives and use of eConsult within the Townsville Hospital and Health service catchment over the pilot period (up to 9\u2009months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>Pre\u2010engagement interviews with clinicians assessed their management of dermatoses and service expectations prior to eConsult usage. eConsult referrals identified case characteristics, outcomes and uptake of the service amongst clinicians. Post\u2010engagement interviews assessed clinician perceptions and their suggestions for the service at the conclusion of the pilot period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 24 and 17 clinicians participated in the pre\u2010 and post\u2010engagement interviews respectively, and 38 referrals were submitted by clinicians. The service assisted diagnosis and management of non\u2010urgent skin conditions for any age group. Clinicians generally had positive perceptions and appreciated timely access to local specialist advice. This study suggests a SAFT service can improve access to dermatology specialist opinion and increase management of dermatoses in primary care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Establishing sustainable teledermatology services with strong engagement from users is important for accessible care. Future research may investigate similar SAFT models involving more specialists and assess long\u2010term cost\u2010effectiveness.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajd.14371","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T09:43:20Z","timestamp":1730281400000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prospective evaluation of the store\u2010and\u2010forward teledermatology service (<scp>eConsult<\/scp>) delivery at Townsville Hospital: A pilot study"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8233-1510","authenticated-orcid":false,"given":"Celine Jessica","family":"Lee","sequence":"first","affiliation":[{"name":"College of Medicine and Dentistry James Cook University  Douglas Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6393-2903","authenticated-orcid":false,"given":"Rebecca","family":"Evans","sequence":"additional","affiliation":[{"name":"College of Medicine and Dentistry James Cook University  Douglas Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Boyce","sequence":"additional","affiliation":[{"name":"Department of Dermatology Townsville University Hospital  Douglas Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Federal Pre\u2010Budget Submission 2022\u201023.Australasian College of Dermatologists.2022 Accessed Acessed Sep 5 2023https:\/\/treasury.gov.au\/sites\/default\/files\/2022\u201003\/258735_australasian_college_of_dermatologists.pdf"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2018.0130"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2021.05.007"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.13249"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12248"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2016.0525"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.12411"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X15583216"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1601705"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijwd.2016.06.004"},{"key":"e_1_2_11_12_1","unstructured":"Infrastructure Delivery Manager.Queensland Government.2023. 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