Quality of Dermatologic Care Delivered by Physician Assistants: An Analysis of Prescribing Behavior for the Combination Antifungal Agent Clotrimazole-Betamethasone

Satyaprakash, Anita; Balkrishnan, Rajesh; Camacho, Fabian; Jayawant, Sujata S.; Fleischer, Alan B.; Feldman, Steven R.

doi:10.1001/archderm.143.12.1591-b

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…This suggests that FNPs and PAs see most of the patients in these clinics. A previous evaluation of the quality of dermatologic care delivered by PAs found that those practicing outside a dermatologist's office had significantly poorer prescribing behavior 22 . Providing a teledermatology consult may improve the quality of care they provide.…”

Section: Discussionmentioning

confidence: 95%

Teledermatology Consultations Provide Specialty Care for Farmworkers in Rural Clinics

Vallejos

Quandt

Feldman

et al. 2009

The Journal of Rural Health

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Context: Rural patients have limited access to dermatologic care. Farmworkers have high rates of skin disease and limited access to care. Purpose: This exploratory study assessed whether teledermatology consultations could help meet the needs of healthcare providers for farmworkers in rural clinics. Methods: Dermatologists provided 79 consultations, using store-and-forward teledermatology, to farmworkers who presented with a skin disease to rural North Carolina clinics. Clinic providers rated the value of the consultation. Findings: Most requests for consultations (94%) came from family nurse practitioners or physician assistants. 12% of consultations were rated somewhat helpful, and the remainder helpful or very helpful. After receiving the consultation, providers changed the diagnosis in 13% of cases. The consultation led providers to contact or attempt to contact 21% of patients to change treatment recommendations. Conclusions: Access to expert dermatologic services is needed by rural healthcare providers. Teledermatology consultations may be a helpful tool to meet this need.

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Section: Discussionmentioning

confidence: 95%