The primary care provider and the care of skin disease: The patient's perspective

  • D.G. F
  • M.C. R
  • S.R. F
 et al. 
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Abstract

Objective: To ascertain the patient's perspective on dermatologic care provided by primary care providers (PCPs) or dermatologists. Design: Cross-sectional survey of patients drawn from primary care and dermatology clinics. Setting: Academic Veterans Affairs medical center. Patients: Convenience sample of patients in either a primary care or a dermatology clinic. Intervention: Survey questionnaire. Main Outcome Measures: Patients' confidence in having their skin problems cared for by PCPs and dermatologists and satisfaction with previous care rendered. Results: A total of 137 patients in the primary care clinic (group 1) and 100 patients in the dermatology clinic (group 2) participated. Patients (N = 237) expressed confidence in their PCP's ability to treat rashes (62%), diagnose skin cancer (65%), perform skin biopsies (60%), "freeze" lesions with liquid nitrogen (50%), and perform cutaneous surgery (46%). Group 2 patients were significantly less likely to have confidence in their PCP than group 1 patients for all measures other than the use of liquid nitrogen. High levels of confidence were expressed in a dermatologist's ability for all 5 measures: 92%, 91%, 92%, 83%, and 85%, respectively. Patients were more confident in dermatologists' abilities to perform these procedures compared with PCPs (P

Author-supplied keywords

  • adult
  • article
  • female
  • health care personnel
  • health survey
  • human
  • major clinical study
  • male
  • medical specialist
  • outcomes research
  • outpatient department
  • patient attitude
  • patient satisfaction
  • primary medical care
  • priority journal
  • questionnaire
  • skin disease

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Authors

  • Federman D.G.

  • Reid M.C.

  • Feldman S.R.

  • Greenhoe J.

  • Kirsner R.S.

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