129 GPS’ PERSPECTIVES ABOUT REMOTE DERMATOLOGY CARE DURING THE COVID-19 PANDEMIC and organizational factors. These factors are closely interrelated and are crucial for understanding the complex picture of health care innovations [18]. Objective To evaluate health care providers’ experiences with store-and-forward telemedicine services from a contracted telemedicine organization perspective and to assure telemedicine service quality, we previously developed and validated the Store-andForward Telemedicine Service User-satisfaction Questionnaire (SAF-TSUQ) [19]. However, this questionnaire does not focus on the interrelations between aspects from a broad sociotechnical perspective. A sociotechnical framework can be used to enhance the analysis of open-ended questions and to model the interrelated aspects of digital dermatology care. In addition, such a framework can be used to identify the sociotechnical facilitators and barriers that influenced GPs regarding the use of remote digital dermatology care during the pandemic. These findings on GPs’ perspectives about digital dermatology care can be used to support future sustainable use of this service in daily practice. Therefore, in this study, the following research questions were answered: 1. How do Dutch GPs experience the remote dermatology care service quality, based on the SAF-TSUQ questionnaire from a contracted telemedicine organization perspective? 2. Which facilitators and barriers do GPs experience in remote dermatology care from a sociotechnical perspective? METHODS Overview Ksyos [20] is one of the largest health care organizations in the Netherlands that facilitates three types of remote store-and-forward digital dermatology care: (1) teledermatology, (2) teledermoscopy, and (3) dermatology home consultation (Figure 7.1). Ksyos-affiliated health care providers acknowledge and approve that Ksyos monitors the quality of its telemedicine services and conducts scientific research when they register for an account on the Ksyos telemedicine platform. The Amsterdam University Medical Center (location: Academic Medical Center) performed this study in collaboration with Ksyos. Data collection for this study was conducted between December 2021 and March 2022 by a researcher (ET). 7
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