{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T10:04:19Z","timestamp":1785319459447,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":209,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100013226","name":"Les Laboratories Pierre Fabre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013226","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Telemedicine and Applications"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The chronic shortage of dermatologists in France results in average waiting times of 3 months, compromising equitable access to care and early diagnosis of severe conditions such as skin cancers. This pilot project evaluates the feasibility, effectiveness, and acceptability of a tele\u2010expertise platform connecting community pharmacists and dermatologists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From March 2024 to March 2025, 40 pharmacies (18 urban and 22 rural) submitted 731 dermatological cases via a secure platform, following pharmacist training in clinical photography and best practices. Twelve volunteer dermatologists responded within a target of 24\u201348\u2009h. Data focused on utilization, response times, pathologies, satisfaction (pharmacist surveys and pharmacist\u2010reported patient feedback), and qualitative feedback from an expert board.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven hundred fourteen tele\u2010expertises were completed, with a mean response time of 5.4 days, reflecting early implementation constraints and progressively improving over time (reduced to 1\u20132 days by study end; 83% &lt;\u200948\u2009h in February 2025). The main conditions include suspected melanoma (7), carcinomas (27), actinic keratosis, eczema, atopic dermatitis, rosacea, vitiligo, and shingles. Pharmacist satisfaction reached 72% (NPS 24%; 94% recommending a scale\u2010up with adaptations). Pharmacists reported that 88% of patients were satisfied. Limitations comprised the lack of e\u2010prescriptions and the nonintegration of primary care physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This pharmacy\u2010centered model improves rapid access to dermatological expertise, reduces diagnostic delays, and satisfies users, but requires integration into coordinated care pathways (with primary care physicians), pharmacist remuneration, and legal\/financial reforms for sustainability. A second pilot is testing these recommendations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/ijta\/9409013","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T09:40:43Z","timestamp":1785318043000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient\u2010Centered Teledermatology: Bridging Pharmacies and 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