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The south-east Scotland dermatology workload study: 30 years' analysis.

S A Holme1, V E Scott-Lang, E T Ooi

  • 1Department of Dermatology, Royal Infirmary, Lauriston Buildings, Lauriston Place, Edinburgh EH3 9HA, UK. alex.holme@nhs.net

The British Journal of Dermatology
|March 1, 2012
PubMed
Summary
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Dermatology referrals have surged by 134% over 30 years, driven by primary care. This increasing demand highlights a growing need for dermatological services and impacts healthcare planning.

Area of Science:

  • Dermatology
  • Public Health
  • Healthcare Management

Background:

  • Longitudinal dermatological activity data collected since 1981 in South-East Scotland (1.24 million population).
  • Previous studies assessed trends in primary and secondary care demand and service activity.
  • Data collection aided in planning dermatological services.

Purpose of the Study:

  • To quantify dermatology outpatient workload in a defined population.
  • To compare current dermatology practice trends with historical data.
  • To inform future healthcare planning and resource allocation.

Main Methods:

  • Standardized proforma used for all National Health Service and private dermatology outpatient consultations in November 2010.
  • Collected data included demographics, referral source/reason, diagnoses, investigations, treatments, and disposal.

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  • Compared findings with five preceding studies.

    • Main Results:

    • 5470 consultations recorded: 2882 new, 2588 review (new:review ratio 1:0.9).
    • 91% of referrals originated from primary care, primarily for diagnosis (58%).
    • Referral rate increased to 23.2/1000 population/annum, mainly from primary care; common conditions included benign tumors (30%), dermatitis (13.3%), and malignant tumors (13%).

    Conclusions:

    • Dermatology demand continues to rise significantly, with new referrals increasing by 134% over 30 years.
    • A 36% increase in new referrals occurred in the last 5 years, outpacing population growth.
    • This trend necessitates proactive planning for dermatological services to meet escalating demand.