Teledermatology consultations provide specialty care for farmworkers in rural clinics.

CONTEXT Rural patients have limited access to dermatologic care. Farmworkers have high rates of skin disease and limited access to care. PURPOSE This exploratory study assessed whether teledermatology consultations could help meet the needs of health care providers for farmworkers in rural clinics. METHODS Dermatologists provided 79 consultations, using store-and-forward teledermatology, to farmworkers who presented with a skin disease to rural North Carolina clinics. Clinic providers rated the value of the consultation. FINDINGS Most requests for consultations (94%) came from family nurse practitioners or physician assistants. Twelve percent of consultations were rated somewhat helpful, and the remainder helpful or very helpful. After receiving the consultation, providers changed the diagnosis in 13% of cases. The consultation led providers to contact or attempt to contact 21% of patients to change treatment recommendations. CONCLUSIONS Access to expert dermatologic services is needed by rural health care providers. Teledermatology consultations may be a helpful tool to meet this need.