Introduction:
Patient-centered care in dermatology remains limited by an overreliance on clinician-reported outcomes, with insufficient integration of patient experience into care design. The increasing adoption of digital health technologies presents an opportunity to align dermatologic care pathways with patient-reported outcomes and values. This scoping review aims to synthesize existing evidence on the integration of patient-reported outcome measures (PROMs) and digital co-design frameworks in dermatologic practice to optimize engagement and care quality.

Methods:
Following the PRISMA-ScR guidelines, a comprehensive literature search was conducted across PubMed, Embase, Scopus, and Web of Science for studies published between 2010 and 2025. Eligible studies included randomized trials, observational studies, and qualitative research examining the use of PROMs, patient portals, mobile health tools, or co-design methods in dermatology. Data were extracted on the study design, intervention type, patient population, outcome measures, and implementation barriers. Thematic synthesis was applied to identify trends and gaps in current evidence.

Results:
Out of 742 screened records, 38 studies met the inclusion criteria. Most evaluated PROM implementation in psoriasis and eczema, while few integrated true patient co-design into digital tool development. Evidence suggested that PROM use improved shared decision-making, treatment adherence, and satisfaction but lacked standardization across platforms. Minimal literature addressed inclusivity for diverse skin tones or low-digital-literacy populations.

Conclusions:
Current dermatologic care models underutilize patient co-design and PROM integration, despite demonstrated benefits for engagement and outcome tracking. Future research should prioritize standardized, inclusive frameworks that leverage digital tools to embed patient voice throughout dermatologic care pathways.