Managed care and the treatment of skin diseases. Dermatologists do it less often

Inpatient dermatology: profile of patients and characteristics of admissions to a tertiary dermatology inpatient unit in São Paulo, Brazil

“…As a result of recent changes in dermatologic practices and in healthcare systems around the world, an increasing proportion of skin diseases have come to be managed by non‐dermatologists . However, the accuracy of diagnoses of common skin conditions made by internal medicine physicians often differs considerably from those made by dermatologists .…”

Dermatology referrals in an East Asian tertiary hospital: a need for inpatient medical dermatology

“…With the recent changes in dermatological practices and in healthcare systems around the world, there is an increasing proportion of skin diseases being managed by nondermatologists. 3,4 However, the accuracy of diagnosis of common skin conditions diagnosed by internal medicine physicians often differ considerably from those diagnosed by dermatologists. 5,6 Studies have also shown that dermatologists have particular expertise in providing more cost-effective specialty care.…”

The dermatology workforce shortage

“…[1][2][3] Many of these forecasts were based on assumptions about the evolution of managed care, but may have underestimated the demand for care, failed to predict specialist usage patterns, and neglected to account for a number of trends impacting the supply and work intensity of dermatologists. 4 Indeed, in the late 1990s, anecdotal reports of a shortage of dermatologists began to surface.…”