PMID: 8941675Dec 1, 1996Paper

Lower utilization of dermatologists in managed care: despite growth in managed care, visits to dermatologists did not decrease: an analysis of National Ambulatory Medical Care Survey data, 1990-1992

The Journal of Investigative Dermatology
Steven R FeldmanAlan B Fleischer

Abstract

Growth of managed care and the decline of direct access are two of the major issues confronting dermatology. Previous study has demonstrated that patients in managed care are less likely than patients with indemnity insurance to see a dermatologist for skin problems, and it was predicted that this would result in a slowing in the demand for dermatologist services. To examine whether the changing health-care environment has resulted in fewer visits to dermatologists, we used National Ambulatory Medical Care Survey data from the years 1990-1992 to examine utilization of dermatologist services over a period in which managed care grew by 32%. Patients with HMO/prepaid insurance were less likely to have their skin care provided by dermatologists than patients with commercial insurance (Blue Cross/Blue Shield and other commercial carriers) or Medicare. A reduction in the number of visits to dermatologists was observed among patients with HMO/prepaid insurance despite the growth in HMO/prepaid insurance as a form of payment; when all payors were considered, however, the number of visits to dermatologists increased from the 1989 level, reaching a plateau in 1992. The number of visits for skin disease to all physicians increased from 56...Continue Reading

Citations

Nov 19, 2013·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Christine S AhnSteven R Feldman
Dec 29, 1998·International Journal of Dermatology·D L Whitaker-WorthJ M Grant-Kels
May 3, 2006·International Journal of Dermatology·Daniel J PearceSteven R Feldman
Nov 10, 2006·The Journal of Dermatological Treatment·Daniel J PearceSteven R Feldman
Jul 20, 2013·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Christine S AhnSteven R Feldman
Dec 21, 2004·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Arun P VenkatSteven R Feldman
Jun 4, 1999·Medical Care Research and Review : MCRR·C G McLaughlin

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