The changing status of inpatient dermatology at American academic dermatology programs.
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 1 19 in 1982 to 36.5 in 1997, and the average daily census decreased from 8.9 to 2.2.


CONCLUSIONS
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.
D000046:Academic Medical Centers / Q000706:statistics & numerical data*; D000553:Ambulatory Care / Q000706:statistics & numerical data; D003880:Dermatology / Q000193:education / Q000706:statistics & numerical data*; D003953:Diagnosis-Related Groups / Q000706:statistics & numerical data; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D007396:Internship and Residency; D010343:Patient Admission / Q000706:statistics & numerical data; D012871:Skin Diseases / Q000453:epidemiology* / Q000628:therapy; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology