Wagner R F, Brown T, Archer R E, Uchida T
Department of Dermatology, University of Texas Medical Branch, Galveston, USA.
Dermatol Surg. 1998 Mar;24(3):357-62; discussion 362-3. doi: 10.1111/j.1524-4725.1998.tb04167.x.
Dermatologists' attitudes toward independent electrolysis practice by nonphysicians has historically ranged from the critical to the praiseworthy. It is hypothesized that dermatologists' attitudes toward independent electrolysis practice by nonphysicians is related to physicians' perception of licensing requirements for independent nonphysician electrologists (INE).
Nine hundred and thirty-seven fellows of the American Academy of Dermatology (AAD) residing in the Southern United States were anonymously surveyed about independent electrolysis practice by nonphysicians. The results of the survey were analyzed using the Pearson chi-square test.
Dermatologists who perceived that licensing was required for INE were significantly more likely to refer patients to INE for hair removal (P = 0.001) and prescribe EMLA cream (lidocaine 2.5% and prilocaine 2.5%) to patients requesting it for electrolysis performed by INE (P = 0.001). However, those dermatologists who had electrolysis services available in their practice settings (15.1%) were significantly less likely to refer patients to INE (P = 0.001) and to prescribe EMLA cream to patients seeking electrolysis from INE (P = 0.034). Only 5.7% of responding dermatologists supported the use of hair removal lasers by INE.
Dermatologists' attitudes toward INE generally appear to be positively related to perceived licensure requirements for INE, but these positive attitudes do not extend to independent laser use by nonphysician electrologists for hair removal.
皮肤科医生对非医生进行独立电解脱毛业务的态度，历史上从批评到赞许都有。据推测，皮肤科医生对非医生进行独立电解脱毛业务的态度，与医生对独立非医生电解脱毛师（INE）执照要求的认知有关。
对居住在美国南部的937名美国皮肤科协会（AAD）会员就非医生进行独立电解脱毛业务进行了匿名调查。调查结果采用Pearson卡方检验进行分析。
认为INE需要执照的皮肤科医生，更有可能将患者转介给INE进行脱毛（P = 0.001），并为要求在INE进行电解脱毛的患者开具EMLA乳膏（利多卡因2.5%和丙胺卡因2.5%）（P = 0.001）。然而，那些在其执业机构提供电解脱毛服务的皮肤科医生（15.1%），将患者转介给INE的可能性显著降低（P = 0.001），并且为从INE寻求电解脱毛的患者开具EMLA乳膏的可能性也降低（P = 0.034）。只有5.7%的受访皮肤科医生支持INE使用脱毛激光。
皮肤科医生对INE的态度总体上似乎与对INE执照要求的认知呈正相关，但这些积极态度并不延伸至非医生电解脱毛师独立使用激光进行脱毛。
