Consumer preferences for teledermoscopy screening to detect melanoma early

Spinks, Jean, Janda, Monika, Soyer, H. Peter, & Whitty, Jennifer A. (2016) Consumer preferences for teledermoscopy screening to detect melanoma early. Journal of Telemedicine and Telecare, 22(1), pp. 39-46.

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  • Introduction

‘Store and forward’ teledermoscopy is a technology with potential advantages for melanoma screening. Any large-scale implementation of this technology is dependent on consumer acceptance.

  • Aim

To investigate preferences for melanoma screening options compared to skin selfexamination in adults considered to be at increased risk of developing skin cancer.

  • Methods

A discrete choice experiment (DCE) was completed by 35 consumers, all of whom had prior experience with the use of teledermoscopy, in Queensland, Australia. Participants made 12 choices between screening alternatives described by seven attributes including monetary cost. A mixed logit model was used to estimate the relative weights that consumers place on different aspects of screening, along with the marginal willingness to pay for teledermoscopy as opposed to screening at a clinic.

  • Results

Overall, participants preferred screening/diagnosis by a health professional rather than skin self-examination. Key drivers of screening choice were for results to be reviewed by a dermatologist; a higher detection rate; fewer non-cancerous moles being removed in relation for every skin cancer detected; and less time spent away from usual activities. On average, participants were willing to pay AU$110 to have teledermoscopy with dermatologist review available to them as a screening option.

  • Discussion & Conclusions

Consumers preferentially value aspects of care that are more feasible with a teledermoscopy screening model, as compared to other skin cancer screening and diagnosis options. This study adds to previous literature in the area which has relied on the use of consumer satisfaction scales to assess the acceptability of teledermoscopy.

Impact and interest:

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ID Code: 83782
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: teledermatology, skin cancer, costs, consumer preferences
DOI: 10.1177/1357633X15586701
ISSN: 1758-1109
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Australian and New Zealand Standard Research Classification
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2015 The authors
Deposited On: 27 Apr 2015 23:01
Last Modified: 17 May 2016 04:47

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