6363 Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
37849 Division of Dermatology, Department of Medicine, King Fahad Medical City, Riyadh, Saudi Arabia.
J Cutan Med Surg. 2021 Sep;25(5):511-520. doi: 10.1177/12034754211008164. Epub 2021 Apr 11.
Limited data is available on the burden of dermatologic disease including disease distribution and providers of care. Research is needed to facilitate health care planning and improve patient care.
To investigate the demographics and economics of the provision of dermatologic care in a universal health care system from fiscal year 2000 to 2016.
A retrospective population-based analysis was performed on physician billing claims for dermatologic conditions from April 1, 2000 to March 31, 2017. Data came from the province of Ontario's universal health care plan claims records accessed through IntelliHealth.
Dermatologic claims made up 3.6% of all physician claims, with a 20% increase seen over time. The cost of dermatologic claims increased by 70% between fiscal 2000 and 2016, with the average cost per claim increasing by 41%. However, the cost of dermatologic claims as a percentage of all health care claims experienced a decline from 3.5% in fiscal 2000 to 2.8% in fiscal 2016. Over the study period, family physicians submitted 56% to 62% of dermatologic claims, dermatologists 24% to 29%, pediatricians 3% to 4%, and internists 1%. Overall, internists billed the highest average cost per dermatologic claim ranging from $39 in 2000 to $60 in 2016, followed by pediatricians at $33 to $58, dermatologists at $28 to $39, and family physicians at $23 to $30.
The demographic and economic burden of dermatologic disease is changing over time, with implications for health care planning, advancing medical education, and patient care.
关于皮肤科疾病的负担，包括疾病分布和医疗服务提供者的信息有限。需要开展研究以促进医疗保健规划并改善患者护理。
调查 2000 财政年度至 2016 财政年度在全民医疗保健体系中提供皮肤科护理的人口统计学和经济学情况。
对 2000 年 4 月 1 日至 2017 年 3 月 31 日期间来自安大略省全民医疗保健计划索赔记录的皮肤科疾病医生计费索赔进行回顾性基于人群的分析。数据来自安大略省全民医疗保健计划索赔记录，通过 IntelliHealth 获得。
皮肤科索赔占所有医生索赔的 3.6%，随着时间的推移，这一比例增加了 20%。2000 财政年度至 2016 财政年度期间，皮肤科索赔的费用增加了 70%，而每次索赔的平均费用增加了 41%。然而，皮肤科索赔占所有医疗保健索赔的比例从 2000 财政年度的 3.5%下降到 2016 财政年度的 2.8%。在整个研究期间，家庭医生提交了 56%至 62%的皮肤科索赔，皮肤科医生提交了 24%至 29%，儿科医生提交了 3%至 4%，内科医生提交了 1%。总体而言，内科医生的每次皮肤科索赔的平均费用最高，从 2000 年的 39 美元到 2016 年的 60 美元不等，其次是儿科医生的 33 美元至 58 美元，皮肤科医生的 28 美元至 39 美元，家庭医生的 23 美元至 30 美元。
随着时间的推移，皮肤科疾病的人口统计学和经济学负担正在发生变化，这对医疗保健规划、推进医学教育和患者护理具有重要意义。
