A process modelling approach to assess the impact of teledermatology deployment onto the skin tumor care pathway

Teledermatology was raised as a potential answer to increase access and decrease delay for skin cancer management. However, its influence on non-melanoma (NMSC) care pathway has never been studied. To compare conventional teledermatology (TD) in NMSC pathways using process modelling approach. A period study including three groups conducted department of dermatology. During the first from January till February 2013 mapped group prior TD integration. second September 2016 October 2018, determined patients managed by after diagnosis. Patients characteristics, type tumors processes were compared time key performance indicator. Mean reported with their ± SD. Linear regression performed between multidisciplinary consultation surgery outcome adjusted sex, age type. (prior TD) 89 (mean = 76 yr old 13) during period, 36 TD, mean years 6 954 process, 78 ±12. In comparison two periods patient’s age, sex distribution significantly differed while rate not different (p 0.967). multivariate displayed that spent 17.6 days more [0.98,34.25] patient had 9.8 [1.85,17.74] than 1, 0.04, p 0.02) without significant difference 0.29, 0.51). SCC decreased −12.97 [−17.43, −8.5], < 10−3. Interestingly, older those pathway. Unexpectedly total shorter. The results this analysis illustrated interest approach assess impact healthcare innovation integration further rethink coordination NSMC post TD.