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Bergmo, T. (2009). Can economic evaluation in telemedicine be trusted? A systematic review of the literature. Cost Effectiveness & Resource Allocation, 710p. doi:10.1186/1478-7547-7-18

Lewis, H., Becevic, M., Myers, D., Helming, D., Mutrux, R., Fleming, D. A., & Edison, K. E. (2018). Dermatology ECHO - an innovative solution to address limited access to dermatology expertise. Rural & Remote Health, 18(1), 1-8.

Zhou, C. (2017, October 11).  YoDerm Provides Consultations and Prescriptions Within 24 Hours.  Retrieved from https://www.medgadget.com/2017/10/yoderm-provides-consultations-prescriptions-within-24-hours.html

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This is a great resource for patients with skin concerns at all hours of the day when clinics might not be available.  Also, efficient as you skip the long process of being referred to a specialist.  Simple issues could be solved promptly and affordably.  It cuts the overhead expenses and is a creative business model.  Doctors or Nurse Practitioners can make extra money in their spare time or from the comfort of any location.  I would like to see this technology used in other areas.  Maybe to have quick access to psychiatric nurses.  It would also be a good opportunity for IT nurses to work on the software for this type of site or even to be available for response to questions or care instead of doctors once the patient has been diagnosed and prescribed. While this might need to be perfected and adequately regulated I believe it is something valuable despite Bergmo (2009), concluding that telemedicine is largely ineffective.

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•Affordable
•Quick process
•Extra income for doctors
•Accessibility
•No need for insurance

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•Potential serious issues could be missed
•Potential for misdiagnosis
•No need for nurses or assistance and other employees that would be at a regular clinic
•Incomplete assessment as only visual sense can be used

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Dermatological concerns or symptoms even if minor are not quickly assessed or treated due to the process of seeing a specialist. Technology, creativity, and networking can make this quick and affordable. This company created a website that is basically an online clinic. Patients can upload photos of their dermatological concerns and a doctor addresses it within 24 hours. As noted by Lewis (2018), it is difficult to access timely and quality dermatological care. Resources are not adequately used as one-third of primary care visits are about dermatology concerns.