Dermatologic care of institutionalized elderly patients: a survey among dermatologists in the Netherlands
Background dermatologists are expected to be increasingly confronted with institutionalized elderly patients, due to the rapidly ageing world population. Objective to determine the proportion of dermatologists visiting patients in nursing homes, together with the reasons for consultation, barriers t...
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| Veröffentlicht in: | EJD. European journal of dermatology 2015-11, Vol.25 (6), p.606-612 |
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| container_title | EJD. European journal of dermatology |
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| creator | Lubeek, Satish F. K. Van Der Geer, Eric R. Van Gelder, Marleene M. H. J. Van De Kerkhof, Peter C. M. Gerritsen, Marie-Jeanne P. |
| description | Background
dermatologists are expected to be increasingly confronted with institutionalized elderly patients, due to the rapidly ageing world population.
Objective
to determine the proportion of dermatologists visiting patients in nursing homes, together with the reasons for consultation, barriers to perform these visits and diagnostic and treatment patterns.
Materials and Methods
a web-based questionnaire regarding dermatologic care in nursing home patients was developed by a multidisciplinary group of dermatologists, residents and elderly care physicians. A cover letter containing a link to the final questionnaire was sent by e-mail to all 661 dermatologists and dermatology residents in the Netherlands.
Results
a total of 130 eligible questionnaires were returned (19.7%). Most respondents (79.2%) never had contact with an elderly care physician concerning a nursing home patient. However, only 30.0% of the respondents ever visited a patient within a nursing home. The most common reasons for nursing home visits were cutaneous (pre)malignancies (51.4%), eczema/dermatitis (25.7%) and (pressure) ulcers (8.6%). The most important barriers mentioned to perform nursing home visits were a lack of time and indistinct and/or inadequate financial compensation. Diagnostic and treatment patterns often differed from the outpatient clinic due to various patient-related and logistic factors.
Conclusions
dermatologists are frequently confronted with nursing home patients but only a minority visits patients within nursing homes. Lack of time and/or financial compensation seem important barriers. |
| doi_str_mv | 10.1684/ejd.2015.2657 |
| format | Article |
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dermatologists are expected to be increasingly confronted with institutionalized elderly patients, due to the rapidly ageing world population.
Objective
to determine the proportion of dermatologists visiting patients in nursing homes, together with the reasons for consultation, barriers to perform these visits and diagnostic and treatment patterns.
Materials and Methods
a web-based questionnaire regarding dermatologic care in nursing home patients was developed by a multidisciplinary group of dermatologists, residents and elderly care physicians. A cover letter containing a link to the final questionnaire was sent by e-mail to all 661 dermatologists and dermatology residents in the Netherlands.
Results
a total of 130 eligible questionnaires were returned (19.7%). Most respondents (79.2%) never had contact with an elderly care physician concerning a nursing home patient. However, only 30.0% of the respondents ever visited a patient within a nursing home. The most common reasons for nursing home visits were cutaneous (pre)malignancies (51.4%), eczema/dermatitis (25.7%) and (pressure) ulcers (8.6%). The most important barriers mentioned to perform nursing home visits were a lack of time and indistinct and/or inadequate financial compensation. Diagnostic and treatment patterns often differed from the outpatient clinic due to various patient-related and logistic factors.
Conclusions
dermatologists are frequently confronted with nursing home patients but only a minority visits patients within nursing homes. Lack of time and/or financial compensation seem important barriers.</description><identifier>ISSN: 1167-1122</identifier><identifier>EISSN: 1952-4013</identifier><identifier>DOI: 10.1684/ejd.2015.2657</identifier><identifier>PMID: 26552491</identifier><language>eng</language><publisher>Paris: John Libbey Eurotext</publisher><subject>Adult ; Clinical Report ; Cross-Sectional Studies ; Dermatology ; Dermatology - statistics & numerical data ; Female ; Health Care Surveys - methods ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Morbidity - trends ; Netherlands - epidemiology ; Nursing Homes - statistics & numerical data ; Skin Diseases - epidemiology ; Skin Diseases - therapy ; Surveys and Questionnaires</subject><ispartof>EJD. European journal of dermatology, 2015-11, Vol.25 (6), p.606-612</ispartof><rights>John Libbey Eurotext 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c332t-d6adbd26bc37d7e9cb482a3a3424b7625f5f26739b4e7bb59e85548d2371f6963</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1684/ejd.2015.2657$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1684/ejd.2015.2657$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26552491$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lubeek, Satish F. K.</creatorcontrib><creatorcontrib>Van Der Geer, Eric R.</creatorcontrib><creatorcontrib>Van Gelder, Marleene M. H. J.</creatorcontrib><creatorcontrib>Van De Kerkhof, Peter C. M.</creatorcontrib><creatorcontrib>Gerritsen, Marie-Jeanne P.</creatorcontrib><title>Dermatologic care of institutionalized elderly patients: a survey among dermatologists in the Netherlands</title><title>EJD. European journal of dermatology</title><addtitle>Eur J Dermatol</addtitle><addtitle>Eur J Dermatol</addtitle><description>Background
dermatologists are expected to be increasingly confronted with institutionalized elderly patients, due to the rapidly ageing world population.
Objective
to determine the proportion of dermatologists visiting patients in nursing homes, together with the reasons for consultation, barriers to perform these visits and diagnostic and treatment patterns.
Materials and Methods
a web-based questionnaire regarding dermatologic care in nursing home patients was developed by a multidisciplinary group of dermatologists, residents and elderly care physicians. A cover letter containing a link to the final questionnaire was sent by e-mail to all 661 dermatologists and dermatology residents in the Netherlands.
Results
a total of 130 eligible questionnaires were returned (19.7%). Most respondents (79.2%) never had contact with an elderly care physician concerning a nursing home patient. However, only 30.0% of the respondents ever visited a patient within a nursing home. The most common reasons for nursing home visits were cutaneous (pre)malignancies (51.4%), eczema/dermatitis (25.7%) and (pressure) ulcers (8.6%). The most important barriers mentioned to perform nursing home visits were a lack of time and indistinct and/or inadequate financial compensation. Diagnostic and treatment patterns often differed from the outpatient clinic due to various patient-related and logistic factors.
Conclusions
dermatologists are frequently confronted with nursing home patients but only a minority visits patients within nursing homes. Lack of time and/or financial compensation seem important barriers.</description><subject>Adult</subject><subject>Clinical Report</subject><subject>Cross-Sectional Studies</subject><subject>Dermatology</subject><subject>Dermatology - statistics & numerical data</subject><subject>Female</subject><subject>Health Care Surveys - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Morbidity - trends</subject><subject>Netherlands - epidemiology</subject><subject>Nursing Homes - statistics & numerical data</subject><subject>Skin Diseases - epidemiology</subject><subject>Skin Diseases - therapy</subject><subject>Surveys and Questionnaires</subject><issn>1167-1122</issn><issn>1952-4013</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1v2zAQQImgQZw6GbMWHLvI4TelbkWatAWMZElmghJPDg1JdEkqgPPrS8NuO3XhEbiHh8ND6IaSFVW1uIWtWzFC5Yopqc_QJW0kqwSh_EP5U6UrShlboI8pbQlhpOH1BVoUVjLR0Evkv0EcbQ5D2PgOdzYCDj32U8o-z9mHyQ7-HRyGwUEc9nhns4cppy_Y4jTHN9hjO4Zpg90_T8qpGHB-BfwI5Y2DnVy6Que9HRJcn-YSvTzcP9_9qNZP33_efV1XHecsV05Z1zqm2o5rp6HpWlEzyy0XTLRaMdnLninNm1aAblvZQC2lqB3jmvaqUXyJPh-9uxh-zZCyGX3qYChHQJiToVoJTQjXdUGrI9rFkFKE3uyiH23cG0rMoa4pdc2hrjnULfynk3puR3B_6T85C7A6Aqmspg1Esw1zLA3Tf4y_AYEUhog</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Lubeek, Satish F. K.</creator><creator>Van Der Geer, Eric R.</creator><creator>Van Gelder, Marleene M. H. J.</creator><creator>Van De Kerkhof, Peter C. M.</creator><creator>Gerritsen, Marie-Jeanne P.</creator><general>John Libbey Eurotext</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151101</creationdate><title>Dermatologic care of institutionalized elderly patients: a survey among dermatologists in the Netherlands</title><author>Lubeek, Satish F. K. ; Van Der Geer, Eric R. ; Van Gelder, Marleene M. H. J. ; Van De Kerkhof, Peter C. M. ; Gerritsen, Marie-Jeanne P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-d6adbd26bc37d7e9cb482a3a3424b7625f5f26739b4e7bb59e85548d2371f6963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Clinical Report</topic><topic>Cross-Sectional Studies</topic><topic>Dermatology</topic><topic>Dermatology - statistics & numerical data</topic><topic>Female</topic><topic>Health Care Surveys - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Morbidity - trends</topic><topic>Netherlands - epidemiology</topic><topic>Nursing Homes - statistics & numerical data</topic><topic>Skin Diseases - epidemiology</topic><topic>Skin Diseases - therapy</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lubeek, Satish F. K.</creatorcontrib><creatorcontrib>Van Der Geer, Eric R.</creatorcontrib><creatorcontrib>Van Gelder, Marleene M. H. J.</creatorcontrib><creatorcontrib>Van De Kerkhof, Peter C. M.</creatorcontrib><creatorcontrib>Gerritsen, Marie-Jeanne P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>EJD. European journal of dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lubeek, Satish F. K.</au><au>Van Der Geer, Eric R.</au><au>Van Gelder, Marleene M. H. J.</au><au>Van De Kerkhof, Peter C. M.</au><au>Gerritsen, Marie-Jeanne P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dermatologic care of institutionalized elderly patients: a survey among dermatologists in the Netherlands</atitle><jtitle>EJD. European journal of dermatology</jtitle><stitle>Eur J Dermatol</stitle><addtitle>Eur J Dermatol</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>25</volume><issue>6</issue><spage>606</spage><epage>612</epage><pages>606-612</pages><issn>1167-1122</issn><eissn>1952-4013</eissn><abstract>Background
dermatologists are expected to be increasingly confronted with institutionalized elderly patients, due to the rapidly ageing world population.
Objective
to determine the proportion of dermatologists visiting patients in nursing homes, together with the reasons for consultation, barriers to perform these visits and diagnostic and treatment patterns.
Materials and Methods
a web-based questionnaire regarding dermatologic care in nursing home patients was developed by a multidisciplinary group of dermatologists, residents and elderly care physicians. A cover letter containing a link to the final questionnaire was sent by e-mail to all 661 dermatologists and dermatology residents in the Netherlands.
Results
a total of 130 eligible questionnaires were returned (19.7%). Most respondents (79.2%) never had contact with an elderly care physician concerning a nursing home patient. However, only 30.0% of the respondents ever visited a patient within a nursing home. The most common reasons for nursing home visits were cutaneous (pre)malignancies (51.4%), eczema/dermatitis (25.7%) and (pressure) ulcers (8.6%). The most important barriers mentioned to perform nursing home visits were a lack of time and indistinct and/or inadequate financial compensation. Diagnostic and treatment patterns often differed from the outpatient clinic due to various patient-related and logistic factors.
Conclusions
dermatologists are frequently confronted with nursing home patients but only a minority visits patients within nursing homes. Lack of time and/or financial compensation seem important barriers.</abstract><cop>Paris</cop><pub>John Libbey Eurotext</pub><pmid>26552491</pmid><doi>10.1684/ejd.2015.2657</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1167-1122 |
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| source | MEDLINE; Springer Online Journals Complete |
| subjects | Adult Clinical Report Cross-Sectional Studies Dermatology Dermatology - statistics & numerical data Female Health Care Surveys - methods Humans Male Medicine Medicine & Public Health Middle Aged Morbidity - trends Netherlands - epidemiology Nursing Homes - statistics & numerical data Skin Diseases - epidemiology Skin Diseases - therapy Surveys and Questionnaires |
| title | Dermatologic care of institutionalized elderly patients: a survey among dermatologists in the Netherlands |
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