Menu Expand
United States Skin Disease Needs Assessment, An Issue of Dermatologic Clinics - E-Book

United States Skin Disease Needs Assessment, An Issue of Dermatologic Clinics - E-Book

Robert P. Dellavalle

(2012)

Additional Information

Book Details

Abstract

This issue discusses the concerns of skin disease in the United States and the national clinical dermatology research priorities – the article topics also closely follow the plan set out by the recent dermatology needs assessment of the UK.  Articles include Health Care Disparities, The Burden of Skin Disease in the United States, as well as specific conditions such as psoriasis, acne, and melanoma.  There is also an article devoted to dermatologic surgery needs assessment.

Table of Contents

Section Title Page Action Price
Front Cover 1
Dermatologic Clinics 2
Copyright Page 3
Table of Contents 8
Contributors 4
Dermatologic Clinics 12
Preface 14
Dedication 16
Chapter 1. Introduction: US Dermatologic Health Care Needs Assessment 18
HEALTH CARE NEEDS ASSESSMENT 18
SKIN DISEASE 18
HEALTH CARE NEED 19
WHAT TO EXPECT IN THIS USSKIN DISEASE NEEDS ASSESSMENT 19
REFERENCES 20
Chapter 2. The Burden of Skin Disease in the United States and Canada 22
SKIN DISEASE CLASSIFICATION 22
EPIDEMIOLOGY 23
QUALITY OF LIFE 27
COSTS OF SKIN DISEASE 28
SUMMARY 32
REFERENCES 32
Chapter 3. Services Available and Their Effectiveness 36
FOUR LEVELS OF HEALTH CARE PROVIDERS 37
WHERE SERVICES ARE PROVIDED 40
WHAT SERVICES ARE PROVIDED 41
EFFICACY OF TREATMENT OR CARE 47
REFERENCES 52
Chapter 4. Models of Care and Organization of Services 56
PPOs AND DERMATOLOGY 58
AREAS FOR IMPROVEMENT: PPOS AND DERMATOLOGY 59
THE VHA 59
ACCESS TO DERMATOLOGY CARE 61
OUTCOMES OF HMO VERSUS FFS 61
IMPROVING DERMATOLOGY CARE 62
SUPPLY AND DEMAND 62
INCREASING PATIENT AWARENESS 63
INCREASING TRAINING OF NONDERMATOLOGISTS 63
PHYSICIAN EXTENDERS 63
WAIT TIMES 64
MALPRACTICE 65
ROLE OF PHARMACEUTICALS 65
SUMMARY 66
REFERENCES 66
Chapter 5. Dermatologic Health Disparities 70
RACE AND ETHNICITY 70
SKIN CANCER 71
ATOPIC DERMATITIS 71
HEALTH CARE REFORM AND THEDERMATOLOGY WORKFORCE 71
DERMATOLOGY EDUCATION AND HEALTH DISPARITIES 72
DISPARITIES IN RESEARCH 73
SUMMARY 73
REFERENCES 74
Chapter 6. A Review of Health Outcomes in Patients with Psoriasis 78
PSORIASIS SUBTYPES 78
BURDEN OF PSORIASIS 79
PSORIASIS COMORBIDITIES 79
TREATMENTS 81
SERVICES AVAILABLE 85
SUMMARY 85
REFERENCES 86
Chapter 7. Health Outcomesin Atopic Dermatitis 90
PREVALENCE AND INCIDENCE OF ATOPIC DERMATITIS 90
ASSESSMENT OF HEALTH OUTCOMES IN A TOPIC DERMATITIS 90
RESULTS OF HEALTH OUTCOMES IN ATOPIC DERMATITIS 92
TREATMENT OF ATOPIC DERMATITIS AND ITS EFFECT ON HEALTH OUTCOMES 93
REFERENCES 98
Chapter 8. Contact Dermatitis in the United States: Epidemiology, Economic Impact, and Workplace Prevention 104
RISK FACTORS 106
INCIDENCE AND PREVALENCE 108
ECONOMIC IMPACT AND COST TO SOCIETY 109
BURDEN OF DISEASE ON THE PATIENT 110
PREVENTION STRATEGIES 111
PATCH TESTING 112
SUMMARY 113
REFERENCES 113
Chapter 9. Acne Vulgaris: Pathogenesis, Treatment, and Needs Assessment 116
EPIDEMIOLOGY 116
PATHOGENESIS 117
PREVENTION 117
TREATMENT 118
ACNE SCARRING 119
BURDEN OF TREATMENT 119
AVAILABLE SERVICES 119
FUTURE DIRECTIONS 120
SUMMARY 121
REFERENCES 121
Chapter 10. US Skin Disease Assessment: Ulcer and Wound Care 124
VLU 124
DFU 125
PRU 126
CHRONIC ULCERS: THE MANAGEMENT TEAM 127
CHRONIC ULCER: GUIDELINES TO CARE 127
REFERENCES 127
Chapter 11. Melanoma: Epidemiology, Diagnosis, Treatment, and Outcomes 130
EPIDEMIOLOGY 130
ETIOLOGY 131
CLINICAL PRESENTATION 133
DIAGNOSIS 134
PREVENTION 136
TREATMENT 136
PROGNOSIS 137
NEEDS IN MELANOMA DETECTION AND CARE 137
SUMMARY 138
ACKNOWLEDGMENTS 138
REFERENCES 138
Chapter 12. Nonmelanoma Skin Cancer 142
EPIDEMIOLOGY OF NMSCS 142
HEALTH OUTCOMES OF NMSCs 147
TREATMENT GUIDELINES FOR NMSCS IN THE UNITED STATES 150
CURRENT NEEDS IN NMSC RESEARCH 151
REFERENCES 153
Chapter 13. Infectious Skin Diseases: A Review and Needs Assessment 158
BACTERIAL SKIN DISEASES 158
FUNGAL SKIN DISEASES 160
VIRAL SKIN DISEASES 163
SUMMARY 165
REFERENCES 165
Chapter 14. Needs Assessment for General Dermatologic Surgery 170
CRYOSURGERY 171
ELECTROSURGERY 172
PHOTODYNAMIC THERAPY 173
EXCISIONS 175
OTHER TOPICS 178
SUMMARY 179
REFERENCES 180
Chapter 15. Needs Assessment for Mohs Micrographic Surgery 184
INDICATIONS 184
UTILIZATION 186
USE OF CURETTAGE BEFORE MOHS 186
USE OF PROPHYLACTIC ANTIBIOTICS 187
MANAGING ANTICOAGULANTS 188
OUTCOMES 188
SUMMARY 190
REFERENCES 190
Chapter 16. Needs Assessment for Cosmetic Dermatologic Surgery 194
DEFINITIONS AND BOUNDARIES 195
COMMON INDICATIONS 195
COMPARATIVE EFFECTIVENESS AND SAFETY 195
SITE OF SERVICE 195
TOPIC AREAS 197
SUMMARY 200
REFERENCES 201
Chapter 17. Conclusions and Recommendations: United States Dermatologic Health Care Need Assessment 206
SUMMARY 206
REFERENCES 211
Index 212