Related Experiment Video
Updated: Aug 9, 2025
Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
Dermatology urgent care model reduces costs and healthcare utilization for psychodermatology patients - a
Jacob Johnson1, Brett Cutler, Emile Latour
1Department of Dermatology, Oregon Health and Science University, Center for Health and Healing, Oregon, USA. jpj2109@gmail.com.
Background:
Patients with psychiatric dermatoses may be high users of healthcare, especially emergency services. A dermatology urgent care model may reduce healthcare utilization in this population.
Objective:
To determine whether a dermatology urgent care model can reduce healthcare utilization among patients with psychiatric dermatoses.
Methods:
We conducted a retrospective chart review of patients seen in dermatology urgent care at Oregon Health and Science University between 2018 and 2020 with diagnoses of Morgellons disease and neurotic excoriations. Rates of diagnosis-related healthcare visits and emergency department visits were annualized before and during engagement with the dermatology department. Rates were compared using paired t-tests.
Results:
We found an 88.0% reduction in annual rates of healthcare visits (P<0.001) and 77.0% reduction in emergency room visits (P<0.003). Results were unchanged when controlled for gender identity, diagnosis, and substance use.
Limitations:
We could not account for healthcare use not included in electronic health record.
Conclusion:
Urgent care models in dermatology may reduce overuse of healthcare and emergency services among patients with psychiatric dermatoses.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:26Methods of Documentation IV: Focus Charting
It typically involves three columns for recording information:
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
01:13Patient-centered Care
01:23Methods of Documentation V: CBE
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
01:30Preventive Healthcare Services