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The Cost-effectiveness of Primary Care: A Myth or a Reality?

The Cost-effectiveness of Primary Care: A Myth or a Reality? Abstract The article entitled "The Ability of Primary Care Physicians to Recognize the Common Dermatoses" (see p 620) raises some provocative issues and suggests a number of questions that require answers. Clearly, these studies need to be verified under other circumstances and with different formats, since those who will have a tendency to discredit the findings will question whether the simple recognition of pictures of skin diseases is an adequate or fair method of assessing dermatologic diagnostic competency. This technique, however, is a standard method currently employed by a number of speciality boards. The preliminary study by Ramsay and Fox strongly supports the contention that primary care physicians are not well equipped to identify a substantial percentage of the 20 most common dermatologic disorders in comparison with the performance of a control group of dermatologists. This is a most discouraging observation, since Stern et al1 present evidence that visits to References 1. Stern RS, Johnson ML, DeLozier J: Utilization of physician services for dermatologic complaints: The United States, 1974 . Arch Dermatol 1977;113:1062-1066.Crossref 2. Johnson ML: On limiting access to specialist's care . J Am Acad Dermatol 1980;3:640-642.Crossref 3. An analysis of the potential impact of health maintenance organizations upon the practice of dermatology (with recommendations), American Academy of Dermatology, Health Maintenance Organization Review Committee . J Am Acad Dermatol 1980;2:346-353.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

The Cost-effectiveness of Primary Care: A Myth or a Reality?

Archives of Dermatology , Volume 117 (10) – Oct 1, 1981

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1981.01650100011018
Publisher site
See Article on Publisher Site

Abstract

Abstract The article entitled "The Ability of Primary Care Physicians to Recognize the Common Dermatoses" (see p 620) raises some provocative issues and suggests a number of questions that require answers. Clearly, these studies need to be verified under other circumstances and with different formats, since those who will have a tendency to discredit the findings will question whether the simple recognition of pictures of skin diseases is an adequate or fair method of assessing dermatologic diagnostic competency. This technique, however, is a standard method currently employed by a number of speciality boards. The preliminary study by Ramsay and Fox strongly supports the contention that primary care physicians are not well equipped to identify a substantial percentage of the 20 most common dermatologic disorders in comparison with the performance of a control group of dermatologists. This is a most discouraging observation, since Stern et al1 present evidence that visits to References 1. Stern RS, Johnson ML, DeLozier J: Utilization of physician services for dermatologic complaints: The United States, 1974 . Arch Dermatol 1977;113:1062-1066.Crossref 2. Johnson ML: On limiting access to specialist's care . J Am Acad Dermatol 1980;3:640-642.Crossref 3. An analysis of the potential impact of health maintenance organizations upon the practice of dermatology (with recommendations), American Academy of Dermatology, Health Maintenance Organization Review Committee . J Am Acad Dermatol 1980;2:346-353.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Oct 1, 1981

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