Stakeholders' experience of teledermatology in a nurseled community clinic: A case study

Dermatology is regarded as especially suitable for the application of telemedicine because it relies to a large extent on visual information for diagnosis and holds promise as an alternative means of delivering healthcare. Interest in telederma-tology has come at a time when there is an increased demand for dermatological services and has been advocated as a mode of delivery that may diminish inequal-ities in the provision of an overstretched service and improve access to dermato-logical care. A qualitative case study based on interviews and observations was undertaken to explore the perceptions of stakeholders (nurses, patients, GPs, con-sultants) when interacting with a nurse-led teledermatology service in primary care. The study found that the delineation of roles and changing professional boundaries were important issues for stakeholders. It has provided further evi-dence that teledermatology is more than images and diagnostics