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  1. 0Dermatologists meet the primary care standard for first contact management of skin disease.

    Article - En anglais

    Background 

    It has been suggested that first contact for skin disease should be the domain of primary care providers because they provide comprehensive services beyond those offered by dermatologists.

    Objective 

    The purpose of this study was to test the hypothesis that dermatologists do not meet the standards for providing primary care to which generalists are held.

    Methods 

    National Ambulatory Medical Care Survey data from the year 1995 were used to determine the frequency at which counseling and preventive examinations were performed at visits to primary care providers and dermatologists.

    Results 

    Counseling and preventive examinations were performed at a minority of visits for skin disease.

    No counseling was reported at 91% of the visits to primary care providers and at 94% of visits to dermatologists.

    Preventive examinations other than blood pressure were done at 4.7% of the visits to primary care providers and at 1.5% of visits to dermatologists.

    Conclusion 

    The standard of primary care for skin disease, as set by the generalist, is attention to the skin disease and not comprehensive medical care.

    Dermatologists are best able to meet this standard.

    Mots-clés Pascal : Peau pathologie, Soin santé primaire, Attitude, Médecin, Médecine générale, Dermatologie, Etats Unis, Amérique du Nord, Amérique, Qualité, Etude statistique

    Mots-clés Pascal anglais : Skin disease, Primary health care, Attitude, Physician, Internal medicine, Dermatology, United States, North America, America, Quality, Statistical study

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0385043

    Code Inist : 002B30A01C. Création : 25/01/1999.