Access to pediatric dermatology.


Journal

Current opinion in pediatrics
ISSN: 1531-698X
Titre abrégé: Curr Opin Pediatr
Pays: United States
ID NLM: 9000850

Informations de publication

Date de publication:
01 08 2022
Historique:
pubmed: 8 7 2022
medline: 19 7 2022
entrez: 7 7 2022
Statut: ppublish

Résumé

To identify factors that impact accessibility to pediatric dermatology and review healthcare delivery models that improve access and address these barriers. Up to one-third of pediatric primary care visits include a skin-related problem, yet pediatric dermatology subspecialist services are highly inaccessible. Workforce shortages and geographic, sociocultural, and economic barriers perpetuate inaccessibility. Teledermatology expands care, particularly to underserved or geographically remote communities, and reduces healthcare-related costs. Federal legislation to support telehealth services with adequate reimbursement for providers with parity between live, video, and phone visits will dictate the continued feasibility of virtual visits. Innovative care delivery models, such as language-based clinics, multidisciplinary teleconferencing, or embedded dermatology services within primary care are other promising alternatives. Despite efforts to expand access, dermatology still ranks among the most underserved pediatric subspecialties. Improving access requires a multipronged approach. Efforts to expand exposure and mentorship within pediatric dermatology, diversify the workforce and clinical curriculum, recruit and retain clinicians in geographically underserved areas, and collaborate with policymakers to ensure adequate reimbursement for teledermatology services are necessary.

Identifiants

pubmed: 35797420
doi: 10.1097/MOP.0000000000001137
pii: 00008480-202208000-00011
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

359-366

Informations de copyright

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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Auteurs

Kelly K Barry (KK)

Dermatology Section, Division of Immunology, Boston Children's Hospital, Harvard Medical School.
Tufts University School of Medicine.

Elena B Hawryluk (EB)

Dermatology Section, Division of Immunology, Boston Children's Hospital, Harvard Medical School.
Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

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