Related Experiment Video
Updated: May 16, 2026
09:32
Resolving Water, Proteins, and Lipids from In Vivo Confocal Raman Spectra of Stratum Corneum through a Chemometric Approach
Published on: September 26, 2019
[Dermatology day-care: between official rules and reality].
S Ingen-Housz-Oro1, I Durand-Zaleski, A Cosnes
1Service de dermatologie, hôpital Henri-Mondor, Assistance publique-Hôpitaux de Paris, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94000 Créteil, France. saskia.oro@hmn.aphp.fr
Annales De Dermatologie Et De Venereologie
|December 4, 2012
Summary
French ambulatory care regulations shifted dermatology services, impacting financial costs. Day-care hospitalization proved profitable, while consultations incurred losses, highlighting a need for regulatory reform.
Area of Science:
- Dermatology
- Health Economics
- Healthcare Management
Background:
- French ambulatory care regulations enacted in 2006 and 2010 artificially redistributed services from day-care hospitalization to consultations.
- This study investigated the financial implications of this regulatory shift within a dermatological day-care setting.
Purpose of the Study:
- To compare the financial costs and revenues for patients undergoing day-care hospitalization versus those treated in consultations.
- To assess the economic impact of current healthcare regulations on dermatological services.
Main Methods:
- Prospective analysis of 127 patients (67 day-care hospitalization, 60 consultation) from January to February 2011.
- Data collected included patient demographics, diagnoses, procedures, time spent by medical staff, and financial costs/revenues.
- Statistical comparison using Chi-squared and Student's t-tests (P ≤ 0.05).
Main Results:
- Day-care patients were older and required more radiological and non-dermatological consultations.
- Mean doctor time was similar, but senior doctor time was longer in day-care.
- Nurses spent significantly more time with hospitalized patients (72 min) than consultation patients (35 min).
- Hospital costs were similar (~€415), but day-care hospitalization yielded a profit (€252), while consultations resulted in a loss (€244).
Conclusions:
- Day-care hospitalization is financially viable and essential for managing complex dermatological cases.
- Consultations, particularly without overhead reimbursement, are economically unsustainable under current regulations.
- Regulatory modifications are necessary to ensure equitable financial sustainability and optimal patient care in dermatology.
Related Concept Videos
01:14Changes in Skin Color: Clinical Perspectives
The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
01:23Skin Diseases and Disorders
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
01:19Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including:
01:22Standards of Care I
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
01:19Clinical Applications of Epidermal Stem Cells
Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own EpiSCs...
01:29Clinically Relevant Drug Product Specifications: Methods of Establishment
Product specifications define the acceptable quality of a pharmaceutical product by ensuring identity, purity, potency, and strength. These specifications serve as benchmarks during development, manufacturing, and post-approval quality control. Clinically relevant specifications are particularly important because they directly relate to a drug's safety and efficacy in clinical use.Dissolution studies are critical biopharmaceutic tools that link in vitro behavior to in vivo performance. They...