Fig. 2
From: Implementation evaluation of a teledermatology virtual clinic at an academic medical center
Primary care physician reported barriers to teledermatology e-consult and image taking mapped to proposed facilitating intervention. Figure 2 highlights the ranked barriers for primary care providers for both e-consult placement and image taking in the teledermatology process (left and right labeled text boxes). These barriers were ascertained through a survey. For e-consult placement, the barriers (in order of importance) were as follows: (1) time burdens, (2) does not fit in clinic flow, (3) lack of provider incentives, and (4) little desire to change existing practice. For image taking, the ranked barriers were as follows: (1) time burdens, (2) does not fit in clinic flow, (3) discomfort with image taking, (4) little personnel/support, and (5) insufficient or poor training. The central circle shows planned facilitating interventions that were mapped to alleviate barriers to e-consult placement and image taking. These facilitating interventions include (1) allowing for a rash e-consult without dermoscopy, (2) assurance for clinical evaluation within 3 days, (3) more rapid feedback from dermatology for lesion diagnosis, and (4) providing a dedicated image taker in the primary care clinics. We show which barriers these facilitating interventions map to through labels; i.e., EC1 is e-consult placement barrier 1. EC: e-consult placement; IT: image taking