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. 2022 Apr;12(4):1065-1072.
doi: 10.1007/s13555-022-00706-0. Epub 2022 Mar 14.

Why Do Patients in the United States Seek Care from Dermatologists?

Gabrielle M Peck  1 , Forrest A Roberson  2 , Steven R Feldman  3
Affiliations

Why Do Patients in the United States Seek Care from Dermatologists?

Gabrielle M Peck et al. Dermatol Ther (Heidelb). 2022 Apr.

Abstract

Introduction: While the diagnoses made at visits to the dermatologist are well characterized, the reasons patients visit the dermatologists are not well described. Understanding why patients present to dermatologists could be helpful in identifying patients' unmet needs and developing outreach programs to improve patients' access to care. The purpose of this study is to characterize the reasons why US patients sought medical attention from dermatologists.

Methods: We evaluated the National Ambulatory Medical Care Survey (NAMCS) between 2007 and 2018, the most recent years available, to characterize the most common reasons patients visit the dermatologist.

Results: Sixty-four thousand records were identified in the NAMCS estimating 1.55 billion visits to the dermatologist in the US during the study period. The most common reasons for visits were skin examination (7.8%), skin lesion (7.5%), and discoloration/abnormal pigmentation (7.3%). For patients ≤ 18 years, the most common reasons for visits were acne (28%), warts (7.7%), and skin rash (6.4%). For patients 19-65 years and ≥ 66 years, skin examinations (7.7%) and skin lesions (10%) were the most common reasons for visits to dermatologists, respectively.

Conclusion: By identifying the most common reasons for visits to the dermatologist, we can improve our understanding of a patient's needs and appropriate health outreach resources to improve patients' access to care.

Keywords: Acne; Age; National Ambulatory Medical Care Survey (NAMCS); Pigment disorders; Skin exam; Skin lesion.

Plain language summary

Skin conditions affect 1.9 billion people globally. While we understand the most common diagnoses made at a dermatology visit, the reasons why patients visit the dermatologist have not been evaluated. We utilized an annual survey conducted by the Centers for Disease Control and Prevention (CDC), the National Ambulatory Medical Care Survey (NAMCS), to identify the most common reasons patients visited the dermatologist between the years 2007 and 2018, the most recent years of the survey available. The most common reasons for visits were skin examination, skin lesion, and discoloration/abnormal pigmentation. For patients ≤ 18 years, the most common reasons for visits were acne, warts, and skin rash. For patients 19–65 years and ≥ 66 years, skin examinations and skin lesions were the most common reasons for visits to dermatologists, respectively. By identifying the most common reasons for visit to the dermatologist, we can better understand a patient’s needs and improve a patient’s ability to access care for skin conditions.

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References

    1. Seth D, Cheldize K, Brown D, Freeman EE. Global burden of skin disease: inequities and innovations. Curr Dermatol Rep. 2017;6:204–210. doi: 10.1007/s13671-017-0192-7. - DOI - PMC - PubMed
    1. Landis ET, Davis SA, Taheri A, Feldman SR. Top dermatologic diagnoses by age. Dermatol Online J. 2014;20(16):22368. - PubMed
    1. Ahn CS, Allen MM, Davis SA, Huang KE, Fleischer AB, Feldman SR. The National Ambulatory Medical Care Survey: a resource for understanding the outpatient dermatology treatment. J Dermatol Treat. 2014;25(6):453–458. doi: 10.3109/09546634.2014.858409. - DOI - PubMed
    1. Arafa AE, Anzengruber F, Mostafa AM, Navarini AA. Perspectives of online surveys in dermatology. J Eur Acad Dermatol Venereol. 2019;33:511–520. doi: 10.1111/jdv.15283. - DOI - PubMed
    1. NAMCS/NHAMCS—estimation procedures. https://www.cdc.gov/nchs/ahcd/ahcd_estimation_procedures.htm. Accessed 13 Jan 2022.

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