PMID: 8601648Apr 1, 1996Paper

Quality of care: issue or oversight in health care reform?

Journal of the American Academy of Dermatology
B A SolomonA T Glass

Abstract

Health care reform is not dead but merely on hiatus. The vehicle for the reform is managed care, in particular health maintenance organizations (HMOs). HMOs employ primary care physicians as gatekeepers to act as regulators and points of entry into the health care system. It is through these gatekeepers that most dermatologic care is rendered. Our purpose was to assess (1) the level of dermatology training of family practice physicians compared with dermatologists and (2) the impact on the delivery of quality dermatology services. a national study of university residency programs was undertaken. Twenty color Kodachromes of typical cutaneous diseases were analyzed by the two physician groups. A questionnaire was used to evaluate the average formal dermatology training received, the number of primary dermatology patients examined by family practitioners, the correct response rates to the questions, and the dermatologic procedures performed by family practitioners. A total of 723 family practice physicians and 443 dermatologists responded. Our results indicate that, in comparison to dermatologists, primary care physicians significantly are deficient in their ability to recognize common and serious dermatoses. this study provides d...Continue Reading

References

Dec 31, 1992·The New England Journal of Medicine·J M Thomas
Jun 1, 1989·International Journal of Dermatology·F S Glickman
Jul 1, 1986·Archives of Internal Medicine·B R WeinsteinT H Winters
Aug 1, 1987·Journal of the American Academy of Dermatology·R J Pariser, D M Pariser
Apr 1, 1986·Journal of the American Academy of Dermatology·B R CassilethW P Walsh
Dec 1, 1985·Archives of Dermatology·D L Ramsay, F Mayer
Aug 1, 1994·Archives of Dermatology·V FalangaR Banks
Sep 1, 1993·The British Journal of Dermatology·R J Hay
Jun 17, 1993·The New England Journal of Medicine·M Angell

❮ Previous
Next ❯

Citations

Mar 16, 2002·International Journal of Dermatology·Ibrahim A Al-HoqailRichard I Crawford
Jul 1, 2006·Journal of General Internal Medicine·Suephy C ChenWilliam S Weintraub
Dec 29, 1998·International Journal of Dermatology·D L Whitaker-WorthJ M Grant-Kels
Mar 21, 1998·Journal of General Internal Medicine·B GerbertS J McPhee
Oct 18, 2015·The Medical Clinics of North America·Lauren K Biesbroeck, Michi M Shinohara
Oct 3, 2006·Journal of the American Academy of Dermatology·Tobechi Ebede, Art Papier
May 3, 2000·Dermatologic Clinics·A J McMichael, S Jackson
Oct 6, 2005·Seminars in Cutaneous Medicine and Surgery·James A Zalla
May 3, 2000·Dermatologic Clinics·D G Federman, R S Kirsner
Aug 16, 2000·Dermatologic Clinics·R S KirsnerF A Kerdel
Jul 11, 1998·Hospital Practice·R M Hays
May 19, 1998·Journal of Cutaneous Medicine and Surgery·S J Murray, G P Raymond
Oct 20, 2020·Frontiers in Medicine·Kenneth ThomsenOle Winther

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of the American Academy of Dermatology
R S Kirsner, D G Federman
The Journal of Dermatologic Surgery and Oncology
R F WagnerD J Grande
Journal of the American Academy of Dermatology
M R Albert, B T Mackool
© 2021 Meta ULC. All rights reserved