Increasing utilization of dermatologists by managed care: an analysis of the National Ambulatory Medical Care Survey, 1990-1994.
Abstract
Patients with managed care are less likely to see dermatologists for skin problems than are patients with traditional insurance. Through 1992, increase in the demand for treatment of skin problems reduced the effect of managed care on dermatologists. We assessed the continued impact of managed care on visits to dermatologists. Skin disease visits from the National Ambulatory Medical Care Survey were analyzed for the years 1990-1994. We found that demand for treatment of skin problems did not rise between 1992 and 1994, but demand for dermatologists services within the managed care sector more than doubled. In 1994 patients with HMO/prepaid insurance with skin disease were just as likely to see a dermatologist as were patients with commercial insurance. Mean visit duration for skin problems was 19% longer for nondermatologists than for dermatologists (p < 0.001). We conclude that dermatologists are more efficient at treating skin disease than nondermatologists and that utilization of dermatologists within managed care is increasing.
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Only 28% of skin cases are seen by a specialist.
“only 28% of skin cases are seen by a specialist6”
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Jain, A., Way, D., Gupta, V., Gao, Y., de Oliveira Marinho, G., Hartford, J., Sayres, R., Kanada, K., Eng, C., Nagpal, K., et al. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.7249 · Cited by 164 · see citing works
- Authors
- Feldman, S. R., Fleischer, A. B., Williford, P. M., White, R., & Byington, R.
- Affiliations
- Atrium Health Wake Forest Baptist (US)
- Venue
- Journal of the American Academy of Dermatology
- Publisher
- Elsevier BV
- Published
- 1997-11
- Volume
- 37
- Issue
- 5
- Pages
- 784-788
- ISSN
- 0190-9622 (ISSN-L)
- OpenAlex
- W1990969261
- Cited by
- 36
- References
- 21
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2021: 1 · 2020: 1 · 2018: 1 · 2017: 1 · 2014: 1 · 2013: 5
- FWCI
- 10.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- managed care, skin diseases, health insurance, HMOs, private insurance, outpatient visits, visit duration, health care demand
- MeSH terms
- Workforce, Ambulatory Care, Dermatology, Health Services Needs and Demand, Humans, Managed Care Programs, Office Visits, Population Surveillance, Referral and Consultation, Skin Diseases, United States
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