Dermatology outpatient population profiling: Indigenous and non-indigenous dermatoepidemiology

Heyes, Christopher, Chan, Jonathan, Halbert, Anne, Clay, Christopher, Buettner, Petra, and Gebauer, Kurt (2011) Dermatology outpatient population profiling: Indigenous and non-indigenous dermatoepidemiology. Australasian Journal of Dermatology, 52 (3). pp. 202-206.

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Abstract

Background: 

Little is known about the population using Australian dermatology outpatient services, in particular, Indigenous patients. This information is important to direct the strategic planning of dermatology services.

Methods:

This study is a multicentre, retrospective audit of all patients attending public, outpatient dermatology clinics over 7 months across four Perth tertiary hospitals. The patient population (4873 patients) was profiled by age, gender, Indigenous status and rural/urban status. Medical records of the Indigenous patient population (104 patients) were reviewed to reveal the most common skin conditions.

Results: 

The population using public, outpatient services had a median age of 48 years, 51.4% were male and 13.6% were from rural areas. Male patient median age was 50 years compared to 45 years for female patients (P = 0.002). Indigenous patients had a median age of 22 years, a female to male ratio of 3:2 and 26.9% were from rural areas. Over 50% of Indigenous patient appointments were missed. Skin infections, eczematous conditions and naevi were the most common skin conditions in Indigenous patients.

Conclusions: 

This data can guide strategies towards improving the provision of dermatology services for the Australian population. Particular attention is required towards improving Indigenous Australians' capacity to access dermatology services.

Item ID: 20658
Item Type: Article (Refereed Research - C1)
Keywords: aboriginal; Australia; dermatology; epidemiology; Indigenous; paediatric; public health; rural; skin; skin infection
ISSN: 1440-0960
Date Deposited: 06 Mar 2012 02:32
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 30%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111706 Epidemiology @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110304 Dermatology @ 20%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920408 Health Status (e.g. Indicators of Well-Being) @ 20%
92 HEALTH > 9203 Indigenous Health > 920303 Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions) @ 50%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920117 Skin and Related Disorders @ 30%
Citation Count from Web of Science Web of Science 2
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