Many factors such as cost have been used by managed care systems to limit patient access to specialty care, including dermatology.
To date, however, patients'opinions regarding these decisions have not been analyzed.
The purpose of the study was to survey patient opinions regarding the efficacy, costs, and desirability of gatekeeper-mediated versus direct access to dermatologic specialty care.
One hundred fifteen of 150 consecutive patients who were seen in an outpatient dermatology clinic completed an anonymous survey concerning their current visit.
They were asked about referral to the dermatologist by other physicians, number of prior physician visits, and efficacy of therapies received.
Patients rated their level of satisfaction with generalist versus specialist care for their condition and evaluated the importance of direct access to dermatologic specialty care.
Thirty-nine percent of respondents (42 of 108) were on their first visit to the dermatologist for their current condition.
One half of respondents (57 of 115) had previously seen another physician for this condition.
Thirty percent (34 of 115) had been referred to the dermatologist by another physician, most often a family practitioner or internist.
Two thirds (38 of 57) of those seen by a previous physician had received therapy from that physician, but only one third (12 of 35) believed it to have been of any benefit. (...)
Mots-clés Pascal : Malade, Attitude, Accessibilité, Dermatologie, Système santé, Enquête opinion, Coût, Efficacité, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Patient, Attitude, Accessibility, Dermatology, Health system, Opinion inquiry, Costs, Efficiency, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0175547
Code Inist : 002B30A01B. Création : 21/05/1997.