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Kotani K. Step for the Further Introduction of Teledermatology to Daily Practice in Rural and Underserved Areas. Dermatol Pract Concept 2023; 13:dpc.1304a238. [PMID: 37611897 PMCID: PMC10656180 DOI: 10.5826/dpc.1304a238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2023] [Indexed: 08/25/2023] Open
Affiliation(s)
- Kazuhiko Kotani
- Division of Community and Family Medicine, Jichi Medical University, Shimotsuke-City, Japan
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2
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Daw JM, Armbruster T, Deyo Z, Walker J, Rosman LA, Sears SF, Mazzella AJ, Gehi AK. Development and Feasibility of a Primary Care Provider Training Intervention to Improve Atrial Fibrillation Management. MEDRXIV : THE PREPRINT SERVER FOR HEALTH SCIENCES 2023:2023.03.21.23287553. [PMID: 36993684 PMCID: PMC10055598 DOI: 10.1101/2023.03.21.23287553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/31/2023]
Abstract
Background Disparities in atrial fibrillation (AF) care are partially attributed to inadequate access to providers with specialized training in AF. Primary care providers (PCPs) are often the sole providers of AF care in under-resourced regions. Objective To create a virtual education intervention for PCPs and evaluate its impact on use of stroke risk reduction strategies in AF patients. Methods A multi-disciplinary team mentored PCPs on AF management over 6 months using a virtual case-based training format. Surveys of participant knowledge and confidence in AF care were compared pre- and post-intervention. Hierarchical logistic regression modeling was used to evaluate change in stroke risk reduction therapies among patients seen by participants before or after training. Results Of 41 participants trained, 49% worked in family medicine, 41% internal medicine, and 10% general cardiology. Participants attended a mean of 14 one-hour sessions. Overall, appropriate use of oral anticoagulation (OAC) therapy (CHA 2 DS 2 -VASc score ≥1 men, ≥2 women) increased from 37% to 46% (p<.001) comparing patients seen pre- (n=1739) to post- (n=610) intervention. Factors independently associated with appropriate OAC use included participant training (OR 1.4, p=.002) and participant competence in AF management (by survey). Factors associated with decreased OAC use included patient age (OR 0.8 per 10 years, p=.008), nonwhite race (OR 0.7, p=.028). Provider knowledge and confidence in AF care both improved (p<.001). Conclusions A virtual case-based PCP training intervention improved use of stroke risk reduction therapy in outpatients with AF. This widely scalable intervention could improve AF care in under-resourced communities. CONDENSED ABSTRACT A virtual educational model was developed for primary care providers to improve competency in AF care in their community. Following a 6-month training intervention, the rate of appropriate oral anticoagulation (OAC) therapy among patients cared for by participating providers increased from 37% to 46% (p<.001). Among participants, knowledge and confidence in AF care improved. These findings suggest a virtual AF training intervention can improve PCP competency in AF care. This widely scalable intervention could help improve AF care in under-resourced communities.
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Asbeck SM, Imo BU, Okobi OE, Dorcé-Medard J. The Dermatologic Care Needs of a Rural Community in South Florida. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3071. [PMID: 36833760 PMCID: PMC9964341 DOI: 10.3390/ijerph20043071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 02/04/2023] [Accepted: 02/07/2023] [Indexed: 06/18/2023]
Abstract
For patients in rural areas, primary care is often their only access to healthcare services, and skin concerns are among the most common diseases seen in these settings. This study aims to investigate the most common skin conditions, management trends and patterns of referral to dermatology in a rural and underserved community in South Florida. A retrospective chart review was conducted using medical records from the C.L. Brumback Primary Care Clinic in Belle Glade, FL. The most common skin conditions were fungal infections, unspecified dermatitis, pruritus, skin cancer concern, alopecia, and autoimmune skin disorders. The most frequent management strategy was medication prescription followed by specialist referral. Of the 21 percent of patients referred to a specialist, 55 percent of these were to dermatology. The most common diagnoses referred to dermatology were atopic dermatitis and alopecia. Only 20 percent of these patients reported attending their follow-up appointment, and the average distance to referral was 21 miles. Belle Glade is unique in its need for and access to dermatologic care. The lack of access to specialists in rural communities is a public health issue that more studies and outreach initiatives should address.
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Affiliation(s)
- Sara M. Asbeck
- Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami, Miami, FL 33136, USA
| | - Brenda U. Imo
- Division of Dermatology, Georgetown University School of Medicine, Washington, DC 20007, USA
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4
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Implementation of Virtual Communities of Practice in Healthcare to Improve Capability and Capacity: A 10-Year Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137994. [PMID: 35805649 PMCID: PMC9265616 DOI: 10.3390/ijerph19137994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 06/20/2022] [Accepted: 06/27/2022] [Indexed: 11/23/2022]
Abstract
Virtual communities of practice consist of individuals who use a common online platform to share professional expertise and experiences. In healthcare settings a virtual community of practice (VCoP) can optimise knowledge, skills, and the implementation of evidence-based practice. To ensure effective knowledge synthesis and translation into practice, it is essential to clarify the best methods for designing and implementing VCoPs within healthcare organisations. This scoping review aimed to identify the methods used to establish and facilitate online or digitally enabled communities of practice within healthcare organisations across the globe. Six online databases identified papers published from January 2010 to October 2020. Papers were independently screened by two reviewers using Covidence. Data were captured and analysed using a data extraction chart in Covidence. Twenty-four publications that detail methods for establishing a VCoP in healthcare were included. Few studies used a framework to establish a VCoP. It was difficult to identify details regarding methods of development and key elements such as roles, how they were coordinated, and types of technology used. Healthcare organisations can benefit from using a standardised framework for the establishment, implementation and evaluation of VCoPs to improve practice, staff engagement, and knowledge sharing.
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5
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Sun H, Green B, Zaenglein A, Butt M, Kirby JS, Flamm A. Efficacy of pediatric dermatology Extension for Community Healthcare Outcomes (ECHO) sessions on augmenting primary care providers' confidence and abilities. Pediatr Dermatol 2022; 39:385-388. [PMID: 34971007 DOI: 10.1111/pde.14907] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 12/13/2021] [Accepted: 12/18/2021] [Indexed: 11/28/2022]
Abstract
Due to the shortage of pediatric dermatologists and the abundance of skin disorders presenting in childhood, general pediatricians shoulder the management of many pediatric dermatologic disorders and would benefit from additional dermatology-specific training. To address this educational gap, general pediatricians were enrolled in a pediatric dermatology-specific Project Extension for Community Healthcare Outcomes (ECHO) program and surveyed to assess the efficacy of the program in increasing providers' ability and confidence in managing pediatric dermatologic conditions. Providers unanimously reported increased confidence and abilities in assessment and management of pediatric dermatologic conditions. Pediatric dermatology Project ECHO demonstrated high efficacy in improving general practitioners' comfort and knowledge on dermatology-specific topics and may be used as an education model for enhancing primary care providers' knowledge and management of common disorders.
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Affiliation(s)
- Haorui Sun
- Penn State College of Medicine, Hershey, Pennsylvania, USA
| | - Brian Green
- Department of Dermatology, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA
| | - Andrea Zaenglein
- Department of Dermatology, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA.,Department of Pediatrics, Penn State Children's Hospital, Hershey, Pennsylvania, USA
| | - Melissa Butt
- Department of Dermatology, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA
| | - Joslyn S Kirby
- Department of Dermatology, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA
| | - Alexandra Flamm
- Department of Dermatology, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA
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6
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Modelling policy interventions to improve patient access to rural dermatology care. OPERATIONS MANAGEMENT RESEARCH 2021. [DOI: 10.1007/s12063-021-00211-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Puckett HM, Bossaller JS, Sheets LR. The impact of project ECHO on physician preparedness to treat opioid use disorder: a systematic review. Addict Sci Clin Pract 2021; 16:6. [PMID: 33482906 PMCID: PMC7821394 DOI: 10.1186/s13722-021-00215-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Accepted: 01/12/2021] [Indexed: 11/10/2022] Open
Abstract
Opioid use disorder (OUD) is a medical condition that has evolved into a serious and deadly epidemic in the United States. Both medical and psychological interventions are called for to end this growing epidemic, but too few health care professionals are trained to treat OUD. One proven model of training physicians and cross-disciplinary teams in treating a variety of disorders is exemplified by Project ECHO (Extension for Community Healthcare Outcomes), a collaborative tele-mentoring program in which specialists train health-care workers to treat medical conditions, especially those that affect underserved populations. This systematic review found that Project ECHO has the potential to effectively extend current services to patients suffering from OUD, but that there is also a gap in knowledge regarding this type of training. The articles that we reviewed all presented evidence that Project ECHO improves healthcare provider preparedness to treat OUD, especially in regard to improving knowledge and self-efficacy.
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Affiliation(s)
- Hunter M Puckett
- University of Missouri School of Medicine-Columbia, 1 Hospital Dr., MA204 Med. Sci. Bldg, Columbia, MO, 65212, USA
| | - Jenny S Bossaller
- School of Information Science & Learning Technologies, College of Education, 303 Townsend Hall, Columbia, MO, 65211, USA
| | - Lincoln R Sheets
- University of Missouri School of Medicine-Columbia, 1 Hospital Dr., MA204 Med. Sci. Bldg, Columbia, MO, 65212, USA.
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Yennurajalingam S, Amos CE, Weru J, Addo Opare-Lokko EBVND, Arthur JA, Nguyen K, Soyannwo O, Chidebe RCW, Williams JL, Lu Z, Baker E, Arora S, Bruera E, Reddy S. Extension for Community Healthcare Outcomes-Palliative Care in Africa Program: Improving Access to Quality Palliative Care. J Glob Oncol 2020; 5:1-8. [PMID: 31335237 PMCID: PMC6776016 DOI: 10.1200/jgo.19.00128] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
PURPOSE There is limited access to quality palliative care (PC) for patients with
advanced cancer in sub-Saharan Africa. Our aim was to describe the
development of the Project Extension for Community Healthcare
Outcomes-Palliative Care in Africa (ECHO-PACA) program and describe a
preliminary evaluation of attitudes and knowledge of participants regarding
the ability of the program to deliver quality PC. METHODS An interdisciplinary team at the MD Anderson Cancer Center, guided by experts
in PC in sub-Saharan Africa, adapted a standardized curriculum based on PC
needs in the region. Participants were then recruited, and monthly
telementoring sessions were held for 16 months. The monthly telementoring
sessions consisted of case presentations, discussions, and didactic
lectures. Program participants came from 14 clinics and teaching hospitals
in Ghana, Kenya, Nigeria, South Africa, and Zambia. Participants were
surveyed at the beginning, midpoint, and end of the 16-month program to
evaluate changes in attitudes and knowledge of PC. RESULTS The median number of participants per session was 30. Thirty-three (83%) of
40 initial participants completed the feedback survey. Health care
providers’ self-reported confidence in providing PC increased with
participation in the Project ECHO-PACA clinic. There was significant
improvement in the participants’ attitudes and knowledge, especially
in titrating opioids for pain control (P = .042),
appropriate use of non-opioid analgesics (P = .012),
and identifying and addressing communication issues related to end-of-life
care (P = .014). CONCLUSION Project ECHO-PACA was a successful approach for disseminating knowledge about
PC. The participants were adherent to ECHO PACA clinics and the completion
of feedback surveys. Future studies should evaluate the impact of Project
ECHO-PACA on changes in provider practice as well as patient outcomes.
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Affiliation(s)
| | - Charles E Amos
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - John Weru
- Aga Khan University Hospital, Nairobi, Kenya
| | | | | | - Kristy Nguyen
- University of Texas MD Anderson Cancer Center, Houston, TX
| | | | | | | | - Zhanni Lu
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - Ellen Baker
- University of Texas MD Anderson Cancer Center, Houston, TX
| | | | - Eduardo Bruera
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - Suresh Reddy
- University of Texas MD Anderson Cancer Center, Houston, TX
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Blum A, Haase S, Barlinn S, Kopplin D, Neher S, Ott N, Ottinger M, Ridder J, Seifert-Ibach C, Witzel A, Zantl P, Eber E, Hofmann‑Wellenhof R. Erfolgreiche regionale teledermatologische und teledermatoskopische Triage-Vernetzung zwischen niedergelassenen Hausärzten und Hautärzten. Hautarzt 2020; 71:535-541. [DOI: 10.1007/s00105-020-04584-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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10
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Pollack TM, Nhung VTT, Vinh DTN, Hao DT, Trang LTT, Duc PA, Kinh NV, Dung NTH, Dung DL, Ninh NT, Huyen HTT, Huy VX, Hai DM, Khanh TH, Hien NTT, Khuong PTA, Trong NT, Lam NV, Phinh VN, Phuong DT, Duat ND, Liem NT, Binh NT, Chi NK, Yen LN, Cosimi L. Building HIV healthcare worker capacity through telehealth in Vietnam. BMJ Glob Health 2020; 5:e002166. [PMID: 32337087 PMCID: PMC7170421 DOI: 10.1136/bmjgh-2019-002166] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Revised: 03/12/2020] [Accepted: 03/15/2020] [Indexed: 11/30/2022] Open
Abstract
Development of a robust technical assistance system is an essential component of a sustainable HIV response. Vietnam’s National HIV Program is transitioning from a largely donor-funded programme to one primarily supported by domestic resources. Telehealth interventions are increasingly being used for training, mentoring and expert consultation in high-resource settings and hold significant potential for use as a tool to build HIV health worker capacity in low and middle-income countries. We designed, implemented and scaled up a novel HIV telehealth programme for Vietnam, with the goal of building a sustainable training model to support the country’s HIV workforce needs. Over a 4-year period, HIV telehealth programmes were initiated in 17 public institutions with participation of nearly 700 clinical sites across 62 of the 63 provinces in the country. The telehealth programme was used to deliver certificate training courses, provide clinical mentoring and case-based learning, support programme implementation, provide coaching in quality improvement and disseminate new guidelines and policies. Programme evaluation demonstrated improved health worker self-reported competence in HIV care and treatment and high satisfaction among the programme participants. Lessons learnt from Vietnam’s experience with telehealth can inform country programmes looking to develop a sustainable approach to HIV technical assistance and health worker capacity building.
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Affiliation(s)
- Todd M Pollack
- The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam.,Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
| | - Vo Thi Tuyet Nhung
- The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Ho Chi Minh City, Vietnam
| | - Dang Thi Nhat Vinh
- The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Ho Chi Minh City, Vietnam
| | - Duong Thi Hao
- The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Ho Chi Minh City, Vietnam
| | - Le Thi Thu Trang
- The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam
| | - Pham Anh Duc
- The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam
| | | | | | - Duong Lan Dung
- National Hospital of Obstetrics and Gynaecology, Hanoi, Vietnam
| | | | | | - Vo Xuan Huy
- Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam
| | - Duong Minh Hai
- Provincial AIDS Committee of HCMC, Ho Chi Minh City, Vietnam
| | - Truong Huu Khanh
- Department of Infectious Diseases, Pediatric Hospital No 1, Ho Chi Minh City, Vietnam
| | | | | | | | | | - Vu Ngoc Phinh
- The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam
| | - Do Thi Phuong
- The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam
| | - Nguyen Duc Duat
- The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam
| | - Nguyen Thanh Liem
- The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Ho Chi Minh City, Vietnam
| | - Nguyen Thanh Binh
- The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam
| | - Nguyen K Chi
- Centers for Disease Control and Prevention, Ho Chi Minh City, Vietnam
| | - Le Ngoc Yen
- Centers for Disease Control and Prevention, Hanoi, Vietnam
| | - Lisa Cosimi
- Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
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11
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Holmes AN, Chansky PB, Simpson CL. Teledermatology Consultation Can Optimize Treatment of Cutaneous Disease by Nondermatologists in Under-Resourced Clinics. Telemed J E Health 2019; 26:1284-1290. [PMID: 31800369 DOI: 10.1089/tmj.2019.0217] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
Background: Access to dermatologists is limited for disadvantaged patients, who may receive suboptimal dermatologic care from nonspecialists. We assessed if teledermatology could improve primary care provider (PCP)-delivered care for cutaneous disease at a clinic serving uninsured patients. Materials and Methods: Utilizing the American Academy of Dermatology's free AccessDerm program, we offered store-and-forward teledermatology to PCPs, who initiated consultations at will during clinical care independent of the study. We retrospectively analyzed all consultations from 2013 to 2017 and collected patient age/sex, teledermatologist diagnosis, time to teledermatologist reply, time to next dermatology appointment, as well as PCP- and teledermatologist-proposed care plans. Results: Retrospective analysis of 131 consults revealed a 37-h mean teledermatology response-time versus a 14-day appointment wait (p < 0.00001). Teledermatologists provided a definitive care plan without in-person evaluation for 82 (65%) of completed consults and recommended interim treatments while awaiting appointments in 15 cases, thus accelerating care plan delivery in 97 cases (76%). The triage decision rate differed among diagnostic categories; deferral to in-person evaluation was more frequent for neoplasms (p < 0.0001). When PCPs specified preconsult treatment plans, 82% differed from teledermatologist-advised management. Following teledermatologist recommendations would have changed the clinical course in 70% of cases, potentially avoiding suboptimal care, including inappropriate corticosteroids, antimicrobials, and emergency room referrals. Conclusions: We found teledermatology can effectively guide PCPs in resource-limited settings by accelerating delivery of dermatologist-recommended care plans for uninsured patients. Expanding teledermatology for PCPs in under-resourced clinics has the potential to improve treatment of cutaneous disease by nonspecialists and to mitigate suboptimal care for disadvantaged patients.
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Affiliation(s)
- Alexis N Holmes
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Peter B Chansky
- Department of Dermatology, New York University, New York, New York, USA
| | - Cory L Simpson
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
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12
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Feng H, Berk-Krauss J, Feng PW, Stein JA. Comparison of Dermatologist Density Between Urban and Rural Counties in the United States. JAMA Dermatol 2019; 154:1265-1271. [PMID: 30193349 DOI: 10.1001/jamadermatol.2018.3022] [Citation(s) in RCA: 76] [Impact Index Per Article: 15.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Importance As the US population continues to increase and age, there is an unmet need for dermatologic care; therefore, it is important to identify and understand the characteristics and patterns of the dermatologist workforce. Objective To analyze the longitudinal dermatologist density and urban-rural disparities using a standardized classification scheme. Design, Setting, and Participants This study analyzed county-level data for 1995 to 2013 from the Area Health Resources File to evaluate the longitudinal trends and demographic and environmental factors associated with the geographic distribution of dermatologists. Main Outcomes and Measures Active US dermatologist and physician density. Results In this study of nationwide data on dermatologists, dermatologist density increased by 21% from 3.02 per 100 000 people to 3.65 per 100 000 people from 1995 to 2013; the gap between the density of dermatologists in urban and other areas increased from 2.63 to 3.06 in nonmetropolitan areas and from 3.41 to 4.03 in rural areas. The ratio of dermatologists older than 55 years to younger than 55 years increased 75% in nonmetropolitan and rural areas (from 0.32 to 0.56) and 170% in metropolitan areas (from 0.34 to 0.93). Dermatologists tended to be located in well-resourced, urban communities. Conclusions and Relevance Our findings suggest that substantial disparities in the geographic distribution of dermatologists exist and have been increasing with time. Correcting the workforce disparity is important for patient care.
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Affiliation(s)
- Hao Feng
- The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York
| | - Juliana Berk-Krauss
- The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York.,Yale University School of Medicine, New Haven, Connecticut
| | - Paula W Feng
- Yale University School of Medicine, New Haven, Connecticut
| | - Jennifer A Stein
- The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York
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13
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Teledermatology in Underserved Populations. CURRENT DERMATOLOGY REPORTS 2019. [DOI: 10.1007/s13671-019-0260-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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14
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Khaderi S, Sussman N, Kanwal F. Project ECHO: The Specialist Will See You Now. Hepatology 2018; 68:2066-2068. [PMID: 30033576 DOI: 10.1002/hep.30187] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 06/12/2018] [Indexed: 12/07/2022]
Affiliation(s)
- Saira Khaderi
- Michael E. DeBakey Department of Surgery, Division of Abdominal Transplantation and Division of Hepatobiliary Surgery, Baylor College of Medicine, Houston, TX.,Section of Gastroenterology and Hepatology, Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX
| | - Norman Sussman
- Michael E. DeBakey Department of Surgery, Division of Abdominal Transplantation and Division of Hepatobiliary Surgery, Baylor College of Medicine, Houston, TX.,Section of Gastroenterology and Hepatology, Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX
| | - Fasiha Kanwal
- Section of Gastroenterology and Hepatology, Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX.,Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX.,Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX
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