Morenz AM, et al. - Researchers conducted this mixed-methods study to assess the driving distances and insurance coverage for dermatological care as well as the current availability of teledermatological programs within the Indian Health Service (IHS) or tribal hospitals system. The survey identified and contacted 27 brick-and-mortar dermatology clinics and 49 teledermatological programs. Investigators found that the median driving distance between rural IHS or tribal hospitals and the nearest dermatology clinic was 68 miles. Only 9% of the 303 rural IHS or facility reported receiving teledermatological services in the continental United States. Findings revealed that there are substantial geographic and insurance coverage barriers to dermatological care in rural communities for American Indian. Teledermatological innovations could be a major step towards minimizing differences in access and outcomes to dermatological care.