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The User of the Public Dermatology Service

  • Heitor de Sá Gonçalves
  • Maria Araci de Andrade Pontes
  • Gerson Oliveira Penna
Chapter

Abstract

Skin diseases are one of the main reasons that people seek medical care and are responsible for approximately one-quarter of medical appointments in primary care. However, the importance of the skin’s health is generally underestimated because of the chronic nature and low lethality of most cutaneous diseases. Data on the social and demographic characteristics of the population using public dermatology services are essential to direct and plan public health policies. These data are influenced by various factors, such as the socioeconomic profile, the educational profile, housing and hygiene conditions, dietary habits, and the circumstances of access to health care. This chapter discusses the sociodemographic and nosologic profile of this population, as well as the essential characteristics of a public dermatology service.

Keywords

Public health Dermatology User Sociodemographic profile Nosologic profile 

References

  1. 1.
    McKoy K. The importance of dermatology in global health. In: Lahey Clinic, Burlington; Harvard Medical School Department of Dermatology. 2011.Google Scholar
  2. 2.
    Bickers DR, Lim HW, Margolis D, Weinstock MA, Abrams BB, Goodman C, et al. The Burden of skin diseases: a joint project of the American Academy of Dermatology Association and the Society for Investigative Dermatology. J Am Acad Dermatol. 2006;55:490–500.CrossRefPubMedGoogle Scholar
  3. 3.
    Bingefors K, Lindberg M, Isacson D. Self-reported dermatological problems and use of prescribed topical drugs correlate with decreased quality of life: an epidemiological survey. Br J Dermatol. 2002;147:285–90.CrossRefPubMedGoogle Scholar
  4. 4.
    Wolkenstein P, Grob JJ, Bastufi-Garin S, Ruxzczynski S, Roujeau JC, Revuz J. French people and skin diseases. Arch Dermatol. 2003;139:1614–9.PubMedGoogle Scholar
  5. 5.
    Gupta MA, et al. Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. Br J Dermatol. 1998;139:846–50.CrossRefPubMedGoogle Scholar
  6. 6.
    World Health Organization. Everybody’s business. Strengthening health systems to improve health outcomes. WHO’s framework for action. Geneva: World Health Organization; 2007.Google Scholar
  7. 7.
    Gorsky M. The British National Health Service 1948–2008: a review of the historiography. Soc Hist Med. 2008;21(3):437–60.CrossRefPubMedCentralGoogle Scholar
  8. 8.
    Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa Nacional por Amostra de Domicílios – um panorama da saúde no Brasil: acesso e utilização dos serviços, condições de saúde e fatores de risco e proteção à saúde, 2008. Rio de Janeiro: IBGE; 2010.Google Scholar
  9. 9.
    Dilélio AS, et al. Patterns in the use of out patient care in Brazil by patients treated through the Brazilian Unified National Health System, private health insurance and out-of-pocket medical care. Cad Saúde Pública. 2014;30(12):2594–606.CrossRefPubMedGoogle Scholar
  10. 10.
    Silva ZP, Ribeiro MCS, Barata RB, Almeida MF. Socio-demographic profile and utilization patterns of the public health care system (SUS), 2003–2008. Cien Saude Colet. 2011;16(9):3807–16.CrossRefPubMedGoogle Scholar
  11. 11.
    Heyes C, Chan J, Halbert A, Clay C, Buettner P, Gebauer K. Dermatology out patient population profiling: indigenous and non-indigenous dermato-epidemiology. Australas J Dermatol. 2011;52:202–6.CrossRefPubMedGoogle Scholar
  12. 12.
    Schofield J, Grindlay D, Williams H. Skin conditions in the UK: a health care needs assessment. Nottingham: University of Nottingham, Centre of Evidence Based Dermatology UK; 2009.Google Scholar
  13. 13.
    Sociedade Brasileira de Dermatologia. Nosologic profile of dermatologic visits in Brazil. An Bras Dermatol. 2006;81(6):549–58. http://dx.doi.org/10.1590/S0365-05962006000600006.
  14. 14.
    Penna GO, Domingues CMAS, Siqueira JB Jr, Elkhoury ANSM, Cechinel MP, Grossi MAF, et al. Dermatological diseases of compulsory notification in Brazil. An Bras Dermatol. 2011;86(5):865–77. http://dx.doi.org/10.1590/S0365-05962011000500002.

Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  • Heitor de Sá Gonçalves
    • 1
  • Maria Araci de Andrade Pontes
    • 1
  • Gerson Oliveira Penna
    • 2
  1. 1.Dona Libânia Center for DermatologyFortalezaBrazil
  2. 2.Osvaldo Cruz FoundationFortalezaBrazil

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