Patients Perceptions on Teledermatology Through Video-consulting During the Covid19-pandemic: Report on a Belgian Cohort

Keywords: inflammatory skin disease, teledermatology, Covid19, videoconference, telemedicine


Objectives: In light of the Covid19-pandemic the Belgian government announced a quarantine period. Following the imposed guidelines, UZ Leuven responded swiftly by canceling all non-urgent ambulant consultations for a period of three weeks. Later, this was prolonged to a period of three months. This setting urged implementation of telemedicine. In this pilot study, we invited patients followed in our department for inflammatory skin diseases (psoriasis and atopic dermatitis) to substitute their cancelled appointment by a video-consult. Preparation of the consultation as well as the video-consultation itself were assessed by the patient through an online questionnaire.

Material and methods:  A live-interaction teledermatology service was offered by email to patients in follow-up for inflammatory skin diseases who had an appointment scheduled that was cancelled because of the Covid19-pandemic. Patients who accepted the invitation received instructions on how to prepare for the video-consultation. After the video-consultation they received a link to an anonymous online questionnaire.

Results: In total, 100 patients received an invitation by email to replace the cancelled appointment by a video-consultation. 42 patients agreed to participate in video-consultation. The questionnaire was completed by 30 patients. Overall, patients did not report technical difficulties before or during the video-consultation. Satisfaction with the video-consult was high. Most of the participants were inclined to accept another invitation in the future.

Conclusion: The Covid19 pandemic prompted rapid implementation of video-consultation in the UZ Leuven dermatology department. It was assessed as an acceptable replacement given the circumstances. Most patients estimated the visual support an added value and were open to repeat video-consulting in the future.


Download data is not yet available.


Burgiss SG, Julius CE, Watson HW, et al. Telemedicine for dermatology care in rural patients. Telemed J, 1997;3(3): 227-233. DOI: 10.1089/tmj.1.1997.3.227

Collins K, Walters S, Bowns I. Patient satisfaction with teledermatology: quantitative and qualitative results from a randomized controlled trial. J Telemed Telecare, 2004;10(1):29-33. DOI: 10.1258/135763304322764167

Mounessa JS, Chapman S, Braunberger T, et al. A systematic review of satisfaction with teledermatology. J Telemed Telecare, 2018;24(4):263-270. DOI: 10.1177/1357633x17696587

Abbott LM, Miller R, Janda M, et al. Practice guidelines for teledermatology in Australia. Australas J Dermatol, 2020;61(3):e293-302. DOI: 10.1111/ajd.13301

Rizvi SM, Schopf T, Sangha A, Ulvin K, Gjersvik P. Teledermatology in Norway using a mobile phone app. PLoS One, 2020;15(4):e0232131. DOI: 10.1371/journal.pone.0232131

Trettel A, Eissing L, Augustin M. Telemedicine in dermatology: findings and experiences worldwide - a systematic literature review. J Eur Acad Dermatol Venereol, 2018;32(2):215-224. DOI: 10.1111/jdv.14341

Kips J, Lambert J, Ongenae K, De Sutter A, Verhaeghe E. Teledermatology in Belgium: a pilot study. Acta Clin Belg, 2020;75(2):116-122. DOI: 10.1080/17843286.2018.1561812

Brinker TJ, Hekler A, Von Kalle C, et al. Teledermatology: Comparison of store-and-forward versus live interactive video conferencing. J Med Internet Res, 2018;20(10):e11871. DOI: 10.2196/11871

Lee KJ, Finnane A, Soyer HP. Recent trends in teledermatology and teledermoscopy. Dermatol Pract Concept, 2018;8(3):214-223. DOI: 10.5826/dpc.0803a13

Pearlman RL, Le PB, Brodell RT, Nahar VK. Evaluation of patient attitudes towards the technical experience of synchronous teledermatology in the era of COVID-19. Arch Dermatol Res, 2021:1-4. DOI: 10.1007/s00403-020-02170-2

Ruggiero A, Megna M, Annunziata MC, et al. Teledermatology for acne during COVID-19: high patients' satisfaction in spite of the emergency. J Eur Acad Dermatol Venereol, 2020;34(11):e662-e663. DOI: 10.1111/jdv.16746

Villani A, Megna M, Scalvenzi M, Fabbrocini G, Ruggiero A. Teledermatology and chronic skin diseases: Real life experience in a Southern Italian dermatologic centre. Dermatol Ther, 2020;33(6):e13839. DOI: 10.1111/dth.13839

Hamad J, Fox A, Kammire MS, Hollis AN, Khairat S. Evaluating the experiences of new and existing teledermatology patients during the COVID-19 Pandemic: Cross-sectional survey study. JMIR Dermatol, 2021;4(1):e25999. DOI: 10.2196/25999

Fluhr JW, Gueguen A, Legoupil D, et al. Teledermatology in times of COVID-19 confinement: comparing patients’ and physicians’ satisfaction by the Standardized Brest Teledermatology Questionnaire. Dermatology, 2021;237(2):191-196. DOI: 10.1159/000514029

How to Cite
Hillary, T., De Haes, P., Smets, K., Garmyn, M., & Castelijns, F. (2021). Patients Perceptions on Teledermatology Through Video-consulting During the Covid19-pandemic: Report on a Belgian Cohort. Journal of the International Society for Telemedicine and EHealth, 9, e4 (1-4).
Preliminary and Short Reports