Consumer preferences for teledermoscopy screening to detect melanoma early

Spinks, Jean, Janda, Monika, Soyer, H. Peter and Whitty, Jennifer A. (2016) Consumer preferences for teledermoscopy screening to detect melanoma early. Journal of Telemedicine and Telecare, 22 1: 39-46. doi:10.1177/1357633X15586701

Author Spinks, Jean
Janda, Monika
Soyer, H. Peter
Whitty, Jennifer A.
Title Consumer preferences for teledermoscopy screening to detect melanoma early
Journal name Journal of Telemedicine and Telecare   Check publisher's open access policy
ISSN 1758-1109
Publication date 2016-01
Year available 2015
Sub-type Article (original research)
DOI 10.1177/1357633X15586701
Open Access Status Not Open Access
Volume 22
Issue 1
Start page 39
End page 46
Total pages 8
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2016
Language eng
Formatted abstract
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 with skin self-examination in adults considered to be at increased risk of developing skin cancer.
Methods: A discrete choice experiment 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 to every skin cancer detected; and less time spent away from usual activities. On average, participants were willing to pay AUD110 to have teledermoscopy with dermatologist review available to them as a screening option.
Discussion and conclusions: Consumers preferentially value aspects of care that are more feasible with a teledermoscopy screening model, as compared with 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.
Keyword Health economics
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Published online 29 May 2015

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
School of Pharmacy Publications
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