Increasing Access to Specialized Dermatologic Care Through a Volunteer-Driven Free Clinic
Abstract
Approximately 40% of individuals in the United States live in areas underserved by dermatologists.The lack of specialized skin care is particularly pronounced among patients without insurance coverage, as almost half of all dermatologists do not see uninsured patients. We report our experience with the Venice Family Dermatology Clinic, a volunteer-driven dermatology clinic in Los Angeles, California. Several unique features of the clinic include: operating within a larger primary care free clinic that provides referrals and clinic space, having access to an in-house pharmacy, and collaborating with an academic center that provides pathological examination of tissue samples. We hope that the noteworthy features of this clinic may serve as a guide to improve the quality of care and teaching offered at other free dermatology clinics.
Â
References
Kimball AB, Resneck JS, Jr. The US dermatology workforce: a specialty remains in shortage. Journal of the American Academy of Dermatology. 2008;59(5):741-745.
Resneck J, Jr., Kimball AB. The dermatology workforce shortage. Journal of the American Academy of Dermatology. 2004;50(1):50-54.
Suneja T, Smith ED, Chen GJ, Zipperstein KJ, Fleischer AB, Jr., Feldman SR. Waiting times to see a dermatologist are perceived as too long by dermatologists: implications for the dermatology workforce. Archives of dermatology. 2001;137(10):1303-1307.
Tsang MW, Resneck JS, Jr. Even patients with changing moles face long dermatology appointment wait-times: a study of simulated patient calls to dermatologists. Journal of the American Academy of Dermatology. 2006;55(1):54-58.
Resneck JS, Jr., Isenstein A, Kimball AB. Few Medicaid and uninsured patients are accessing dermatologists. Journal of the American Academy of Dermatology. 2006;55(6):1084-1088.
Chen CL, Fitzpatrick L, Kamel H. Who uses the emergency department for dermatologic care? A statewide analysis. Journal of the American Academy of Dermatology. 2014;71(2):308-313.
Ayanian JZ, Weissman JS, Schneider EC, Ginsburg JA, Zaslavsky AM. Unmet health needs of uninsured adults in the United States. JAMA. 25 2000;284(16):2061-2069.
Buster KJ, Stevens EI, Elmets CA. Dermatologic health disparities. Dermatol Clin. 2012;30(1):53-59, viii.
Roetzheim RG, Pal N, Tennant C, et al. Effects of health insurance and race on early detection of cancer. J Natl Cancer Inst. 1999;91(16):1409-1415.
Bilimoria KY, Balch CM, Wayne JD, et al. Health care system and socioeconomic factors associated with variance in use of sentinel lymph node biopsy for melanoma in the United States. Journal of clinical oncology: official journal of the American Society of Clinical Oncology. 2009;27(11):1857-1863.
Blumenthal D, Abrams M, Nuzum R. The Affordable Care Act at 5 Years. N Engl J Med. 2015;372(25):2451-2458.
Darnell JS. Free clinics in the United States: a nationwide survey. Archives of internal medicine. 2010;170(11):946-953.