A Catalog of Dermatology Utilities: A Measure of the Burden of Skin Diseases

Chen, Shuo; Bayoumi, Ahmed M.; Soon, Seaver L.; Aftergut, Kent; Cruz, Ponciano D.; Sexton, Shenara A.; McCall, Calvin O.; Goldstein, Mary K.

doi:10.1046/j.1087-0024.2003.09112.x

Cited by 77 publications

(102 citation statements)

References 22 publications

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“…In Mali, after a single day of training, a marked improvement was seen in the management of skin diseases in primary health care centres, according to changes in defined indicators evaluated in samples of general health care workers. [39]The training of general health care workers in the care of skin disease has been identified as a key to tackling the problem; [40,41] however, the few previous attempts to do so were not evaluated in a systematic manner [41,42] or proved disappointing. In Kenya, repeated training of itinerant community health care workers did not produce a steady improvement in the success indicator chosen i.e.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude, and Practice of Primary Care Physicians Regarding Common Dermatological Disorders in Abha City, Kingdom of Saudi Arabia

Alzahrani¹,

Nahar²,

Alzahrani³

et al. 2017

IOSRPHR

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ABSTRACT:-Background:-Majorityof skin diseases are not life threatening, but the psychological effects of relativelyminor skin abnormalities can often cause more distress to the patients than other more serious medical disorders. As medical knowledge expands, family physicians face an ever-increasing challenge in diagnosis and treatment of skin disorders.Objectives:To assess knowledge, attitudes and practice (KAP) among primary health care providers (PHCP) in Abha City regarding Common dermatological problems and correlate their level of knowledge and practice gap with their background characteristics. Subjects and Methods:Across-sectional study was conducted included all primary health care providers (GPs and Family physicians) in Abha city. A validated selfadministered questionnaire was utilized for data collection. It included questions about socio-demographic characteristics of the participants as well as questions to assess their knowledge, attitude and practice regarding common dermatological problems. Results: The study included 105 primary healthcare physicians with a response rate of 84.7%. Forty percent of them were in the age group 31-40 years whereas 30.5% were in the age group 31-30 years. Almost two-thirds of them (65.7%) were males. More than half of them (59%) were non-Saudi. More than two thirds (69.5%) of primary healthcare physicians had insufficient knowledge regarding common dermatological disorders whereas 21.9% of them had good knowledge and only 4.8% had excellent knowledge. Attending training courses was significantly associated with sufficient knowledge, p=0.003. Lack of guidelines, training, educational materials and time and place were the commonest reported barriers that PHC physicians` face regarding management of dermatological disorders. Conclusions: More than two-thirds of primary health care providers had insufficient knowledge regarding management of common skin disorders. More than half of the PHC physicians strongly agreed that they should have a role in the managing of common dermatological disorders. The commonly reported barriers for that are lack of guidelines and training in dermatology.

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Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude, and Practice of Primary Care Physicians Regarding Common Dermatological Disorders in Abha City, Kingdom of Saudi Arabia

Alzahrani¹,

Nahar²,

Alzahrani³

et al. 2017

IOSRPHR

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“…There are variations between EQ-5D values and time trade-off utility values [33] for the most common dermatoses. For psoriasis, while the time trade-off value proposed in the Catalog of Dermatology Utilities [33] was 0.91, EQ-5D values used in the reported studies were 0.71 [14], 0.77 [34] and 0.78 [24] using EQ-5D utility score and approximately 0.74 [23] and 59.08 [13] as measured by the EQ-5D VAS.…”

Section: Discussionmentioning

confidence: 99%

“…For psoriasis, while the time trade-off value proposed in the Catalog of Dermatology Utilities [33] was 0.91, EQ-5D values used in the reported studies were 0.71 [14], 0.77 [34] and 0.78 [24] using EQ-5D utility score and approximately 0.74 [23] and 59.08 [13] as measured by the EQ-5D VAS. In AD, the value proposed in the Catalog was 0.89 using time trade-off, in contrast to the mean EQ-5D values of 0.80 [20] and 0.72 [21].…”

Section: Discussionmentioning

confidence: 99%

The Role of the EQ-5D in the Economic Evaluation of Dermatological Conditions and Therapies

et al. 2012

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Economic evaluation is an increasingly important aspect of assessment of the burden of skin diseases. Although dermatology data were not used in its development, the use of the EQ-5D questionnaire has been encouraged by the requirement of health technology assessment agencies for utility comparisons informing reimbursement decisions. The aim of this review was to examine the use of the EQ-5D in dermatology and to consider its future role in the economic evaluation of skin diseases. Published studies reporting the use of the EQ-5D in the economic analysis of skin diseases were carefully examined. Nineteen articles and 1 abstract published between 2003 and 2011 were identified, in which cost-of-illness, cost-effectiveness and cost-utility analyses were described. The EQ-5D is not a dermatology-specific measure, and it is not yet clear whether it is the most appropriate measure to support economic evaluation in the context of dermatology.

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“…The time trade-off method is the preferred utility measure used to assess disease burden among dermatologic conditions. 5 In the context of a randomized clinical trial that also assessed quality of life and clinical course, we collected cost and utility data that compared a store-and-forward teledermatology referral process with a conventional referral process.…”

mentioning

confidence: 99%

Cost and Utility Analysis of a Store-and-Forward Teledermatology Referral System

et al. 2015

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IMPORTANCEThe costs and utility of teledermatology are important features of implementation. Such an analysis requires a description of the perspective of the entity that will bear the cost.OBJECTIVE To assess the costs and utility of a store-and-forward teledermatology referral process compared with a conventional referral process from the perspectives of the Department of Veterans Affairs (VA) and society. DESIGN, SETTING, AND PARTICIPANTSThree hundred ninety-one randomized participants were referred from remote sites of primary care to the dermatology services of 2 VA medical facilities for ambulatory skin conditions from December 2008 through June 2010, and follow-up was completed in March 2011. The time trade-off utility measures and costs were collected during a 9-month period among participants in a 2-site parallel group randomized clinical trial. The perspectives of the VA and society were evaluated. The multiple imputation procedure or weighted means were used for missing data elements. Data were analyzed from January to July 2014.INTERVENTIONS Referrals were managed using store-and-forward teledermatology or a conventional text-based referral process. MAIN OUTCOMES AND MEASURESTotal costs from the perspectives of the VA and society incurred during the 9-month follow-up were used to derive per-participant costs. Utility, using the time trade-off method, was the measure of effectiveness.

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A Catalog of Dermatology Utilities: A Measure of the Burden of Skin Diseases

Cited by 77 publications

References 22 publications

Knowledge, Attitude, and Practice of Primary Care Physicians Regarding Common Dermatological Disorders in Abha City, Kingdom of Saudi Arabia

Knowledge, Attitude, and Practice of Primary Care Physicians Regarding Common Dermatological Disorders in Abha City, Kingdom of Saudi Arabia

The Role of the EQ-5D in the Economic Evaluation of Dermatological Conditions and Therapies

Cost and Utility Analysis of a Store-and-Forward Teledermatology Referral System

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