BT02 Patient perspectives on teledermatology: a qualitative systematic review

Abstract

Teledermatology is the remote assessment, diagnosis and management of skin conditions through digital technologies, including clinical photos, videos and online consultations, reducing the need for in-person visits. Optimizing teledermatology depends on the currently limited, qualitative examination of patient experiences. This systematic review synthesized international qualitative literature on patient experiences. The results provide insight to guide patient- and clinician-centred care, inform policy development and support the sustainable implementation of teledermatology. Our aim was to systematically synthesize primary qualitative studies on patient attitudes, perceptions, beliefs and experiences on teledermatology use. A systematic review of qualitative studies was conducted, highlighting patient perspectives on teledermatology. This review adhered to the PRISMA guidelines, ENTREQ checklist and Cochrane’s qualitative evidence synthesis guidelines. A systematic search was conducted from the earliest date available to 1 November 2025 across five databases: MEDLINE, Embase, CINAHL Plus, PsycINFO and ASSIA. Screening was conducted by two independent reviewers. Thematic synthesis followed Thomas and Harden’s three-stage approach. The search identified 539 records, of which 56 full-text articles were assessed for eligibility. Thirteen studies met the inclusion criteria for the final review. Six overarching themes were identified: (i) concerns and barriers, (ii) practical benefits, (iii) psychological impact, (iv) empowerment and positive engagement, (v) consultation preferences and (vi) continuity and support. Our findings suggest that teledermatology improves accessibility, efficiency and continuity of care, particularly for those living farther from clinics, while shaping psychological experiences of reassurance and anxiety. Digital use fosters empowerment; however, preferences remain nuanced, with in-person care favoured for complex conditions and remote care acceptable for stable or minor issues. Teledermatology offers practical benefits, emotional reassurance and opportunities for patient empowerment. However, barriers and varied consultation preferences highlight the need for flexible, hybrid models of care that support patients.