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Outpatient Dermatology Services Disparities Found

JAMA Dermatology; ePub 2018 Sep 26; Tripathi, et al

Recent findings highlight wide-ranging differences in use of dermatologic care in the US across various demographic and socioeconomic lines. Researchers conducted a retrospective analysis of nationally representative data from the 2007 to 2015 Medical Expenditure Panel Survey (MEPS) (n=183,054). Health care use outcomes for dermatologic conditions were examined via multivariable logistic regression analyses of outpatient and office-based dermatologist visit rates accounting for sex, age, race/ethnicity, educational level, income, insurance status, region, self-reported condition, and self-reported health status. They found:

  • Of total MEPS respondents (mean [SD] age, 34 [23] years; 52.1% female), 19,561 (10.7%) self-reported a dermatologic condition; 9,645 patients had a total of 11,761 outpatient visits to dermatologists.
  • Hispanic and black patients were both less likely to receive outpatient care for their dermatologic condition relative to non-Hispanic white patients.
  • Male patients were less likely to receive outpatient dermatologic care than female patients, and Midwestern patients were less likely to receive outpatient dermatologic care than Northeastern patients.
  • Patients with Medicaid or Medicare coverage and uninsured patients were both less likely to receive outpatient dermatologic care than privately insured patients.
Citation:

Tripathi R, Knusel KD, Ezaldein HH, Scott JF, Bordeaux JS. Association of demographic and socioeconomic characteristics with differences in use of outpatient dermatology services in the United States. [Published online ahead of print September 26, 2018]. JAMA Dermatology. doi:10.1001/jamadermatol.2018.3114.

 

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