The changing status of inpatient dermatology at American academic dermatology programs

Robert Kirsner, D. G. Yang, F. A. Kerdel

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Background: Changes in health care delivery financing such as the adoption of the diagnosis-related groups (DRG) in 1983 has affected inpatient services of dermatology programs across the United States. Objective: The purpose of this study was to define the present status of inpatient dermatology at academic medical centers compared with 1982. Methods: Questionnaires inquiring about the state of inpatient service were sent to the chairpersons of each dermatology residency program in the United States. Results: Of the 71 programs responding, 79% reported a reduction in inpatient activity. Nearly half of the dermatology programs with dedicated dermatology beds in 1982 reported not continuing to have these in 1997 (41 to 24). The average number of patients admitted for skin disease decreased from 119 in 1982 to 36.5 in 1997, and the average daily census decreased from 8.9 to 2.2. Conclusion: There has been a decline in the number of patients hospitalized by academic dermatology departments and a shift of some patients hospitalized to beds where the attending is other than a dermatologist.

Original languageEnglish
Pages (from-to)755-757
Number of pages3
JournalJournal of the American Academy of Dermatology
Volume40
Issue number5 I
DOIs
StatePublished - May 26 1999

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Dermatology
Inpatients
Diagnosis-Related Groups
Censuses
Internship and Residency
Skin Diseases
Delivery of Health Care

ASJC Scopus subject areas

  • Dermatology

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The changing status of inpatient dermatology at American academic dermatology programs. / Kirsner, Robert; Yang, D. G.; Kerdel, F. A.

In: Journal of the American Academy of Dermatology, Vol. 40, No. 5 I, 26.05.1999, p. 755-757.

Research output: Contribution to journalArticle

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