Patient Perceptions of Dermatologic Photography: Scoping Review

BackgroundMedical photography is used extensively in dermatology to record disease progression, measure treatment response, and help teach patients about skin disease; such photos are also commonly utilized in teledermatology, medical education, research, and medical referenc...

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Main Authors: William Kim, Torunn Sivesind
Format: Article
Language:English
Published: JMIR Publications 2022-01-01
Series:JMIR Dermatology
Online Access:https://derma.jmir.org/2022/1/e33361
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author William Kim
Torunn Sivesind
author_facet William Kim
Torunn Sivesind
author_sort William Kim
collection DOAJ
description BackgroundMedical photography is used extensively in dermatology to record disease progression, measure treatment response, and help teach patients about skin disease; such photos are also commonly utilized in teledermatology, medical education, research, and medical reference websites. Understanding patient perceptions of medical photographs obtained during dermatologic care in the clinic or hospital setting is critical to enable the delivery of high-quality, patient-centered medical care. ObjectiveThe aims of this study were to elucidate patient perceptions of skin photos in dermatology and to explore possible next steps in improving the patient experience with medical photography in the hospital or clinic setting. MethodsA scoping review of the literature was performed using the PubMed database, with clinic- or hospital-based full-text publications in English spanning the last 10 years considered for inclusion. ResultsThe majority of included studies (10/11, 91%) found positive patient attitudes toward medical photographs. The majority of patients (1197/1511, 79.2%) felt that medical photographs could improve medical care in the clinic setting. Written consent detailing all photo uses, including secondary uses (such as research or teaching), was preferred, apart from in 1 study. Patients preferred or found it acceptable for the photographer of their medical photos to be a physician (1301/1444, 90.1%). Clinic-owned cameras with departmental record storage were the preferred modality. Latinx and African American patients expressed less trust in the utility of medical photographs to improve care, compared with Asian and White patients. The minimal number of available publications on this topic and the inclusion of articles older than 5 years are limitations, since patient perceptions of medical photography may have rapidly changed during this time span, particularly in light of the COVID-19 pandemic and the subsequent increase in teledermatology visits. ConclusionsPatients reported positive perceptions of dermatologic photography for improving their medical care. Ethnic disparities in patient perceptions require further exploration to better elucidate nuances and develop interventions to improve the experience of marginalized patients. Building patient trust in nonphysician photographers may enhance clinic efficiency. Although clinic-owned cameras are well-accepted by patients, improved patient education surrounding the safety of electronic medical record phone applications is needed.
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spelling doaj.art-10572a41df034513b912fc89ca12a4cb2024-02-03T09:05:20ZengJMIR PublicationsJMIR Dermatology2562-09592022-01-0151e3336110.2196/33361Patient Perceptions of Dermatologic Photography: Scoping ReviewWilliam Kimhttps://orcid.org/0000-0002-4803-5224Torunn Sivesindhttps://orcid.org/0000-0003-4805-0632 BackgroundMedical photography is used extensively in dermatology to record disease progression, measure treatment response, and help teach patients about skin disease; such photos are also commonly utilized in teledermatology, medical education, research, and medical reference websites. Understanding patient perceptions of medical photographs obtained during dermatologic care in the clinic or hospital setting is critical to enable the delivery of high-quality, patient-centered medical care. ObjectiveThe aims of this study were to elucidate patient perceptions of skin photos in dermatology and to explore possible next steps in improving the patient experience with medical photography in the hospital or clinic setting. MethodsA scoping review of the literature was performed using the PubMed database, with clinic- or hospital-based full-text publications in English spanning the last 10 years considered for inclusion. ResultsThe majority of included studies (10/11, 91%) found positive patient attitudes toward medical photographs. The majority of patients (1197/1511, 79.2%) felt that medical photographs could improve medical care in the clinic setting. Written consent detailing all photo uses, including secondary uses (such as research or teaching), was preferred, apart from in 1 study. Patients preferred or found it acceptable for the photographer of their medical photos to be a physician (1301/1444, 90.1%). Clinic-owned cameras with departmental record storage were the preferred modality. Latinx and African American patients expressed less trust in the utility of medical photographs to improve care, compared with Asian and White patients. The minimal number of available publications on this topic and the inclusion of articles older than 5 years are limitations, since patient perceptions of medical photography may have rapidly changed during this time span, particularly in light of the COVID-19 pandemic and the subsequent increase in teledermatology visits. ConclusionsPatients reported positive perceptions of dermatologic photography for improving their medical care. Ethnic disparities in patient perceptions require further exploration to better elucidate nuances and develop interventions to improve the experience of marginalized patients. Building patient trust in nonphysician photographers may enhance clinic efficiency. Although clinic-owned cameras are well-accepted by patients, improved patient education surrounding the safety of electronic medical record phone applications is needed.https://derma.jmir.org/2022/1/e33361
spellingShingle William Kim
Torunn Sivesind
Patient Perceptions of Dermatologic Photography: Scoping Review
JMIR Dermatology
title Patient Perceptions of Dermatologic Photography: Scoping Review
title_full Patient Perceptions of Dermatologic Photography: Scoping Review
title_fullStr Patient Perceptions of Dermatologic Photography: Scoping Review
title_full_unstemmed Patient Perceptions of Dermatologic Photography: Scoping Review
title_short Patient Perceptions of Dermatologic Photography: Scoping Review
title_sort patient perceptions of dermatologic photography scoping review
url https://derma.jmir.org/2022/1/e33361
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