title: The contribution of health services research to improved dermatologic care.
abstract: To translate scientific discovery into improved health, we must study health care itself; i.e., how people access health care, costs or other barriers to the provision of good care, and what happens to patients as a result of this care. Health services research (HSR) is the interdisciplinary field that studies health care and its effects. This paper reviews different types of HSR and highlights some dermatologic examples that have resulted in improved health-care systems or have helped us understand access to existing systems. The paper also addresses some of the political and systematic challenges for health services research overall, and for individual investigators and program leaders.
authors.affiliation: Department of Dermatology, University of California, San Francisco, San Francisco, California 94143-0808, USA. chrenm@derm.ucsf.edu
authors.forename: Mary-Margaret
authors.initials: MM
authors.lastname: Chren
mesh_terms: D003880:Dermatology / Q000379:methods* / Q000592:standards / Q000639:trends*; D006297:Health Services Accessibility / Q000592:standards / Q000639:trends; D006302:Health Services Research / Q000379:methods* / Q000639:trends*; D006801:Humans; D011057:Politics
references.citation: JAMA. 1981 May 15;245(19):1913-8
references.pmid: 7230382
references.citation: BMJ. 1999 Sep 11;319(7211):652-3
references.pmid: 10480802
references.citation: Wound Repair Regen. 2009 May-Jun;17(3):318-25
references.pmid: 19660039
references.citation: Arch Dermatol. 2008 Apr;144(4):491-6
references.pmid: 18427043
references.citation: Clin Exp Dermatol. 1994 May;19(3):210-6
references.pmid: 8033378
references.citation: J Clin Oncol. 2006 Aug 1;24(22):3590-6
references.pmid: 16728488
references.citation: Health Technol Assess. 2006 Aug;10(25):iii, ix-87
references.pmid: 16849001
references.citation: Arch Dermatol. 2010 May;146(5):485-91
references.pmid: 20479295
references.citation: J Investig Dermatol Symp Proc. 2004 Mar;9(2):160-8
references.pmid: 15083784
references.citation: Med Care. 2004 Oct;42(10):1019-26
references.pmid: 15377935
references.citation: Arch Dermatol. 1980 Nov;116(11):1269-71
references.pmid: 6776898
references.citation: J Am Acad Dermatol. 1997 Mar;36(3 Pt 1):388-94
references.pmid: 9091469
references.citation: Arch Dermatol. 2006 Feb;142(2):187-94
references.pmid: 16490846
references.citation: J Am Acad Dermatol. 2002 Mar;46(3):361-70
references.pmid: 11862170
references.citation: J Invest Dermatol. 2007 Jun;127(6):1351-7
references.pmid: 17301830
references.citation: N Engl J Med. 1997 Apr 10;336(15):1041-5
references.pmid: 9091799
references.citation: Br J Dermatol. 2010 Dec;163(6):1166-8
references.pmid: 21137114
references.citation: J Am Acad Dermatol. 2006 Dec;55(6):1084-8
references.pmid: 17097404
references.citation: Arch Dermatol. 2010 Mar;146(3):249-56
references.pmid: 20231494
references.citation: N Engl J Med. 1990 Apr 19;322(16):1093-7
references.pmid: 2320078
references.citation: Ann Surg Oncol. 2010 Jun;17(6):1475-7
references.pmid: 20300965
references.citation: Health Aff (Millwood). 2003 Jan-Jun;Suppl Web Exclusives:W3-283-307
references.pmid: 14527262
references.citation: J Am Acad Dermatol. 2011 Apr;64(4):759-72
references.pmid: 21036419
references.citation: Arch Dermatol. 2011 Feb;147(2):242-4
references.pmid: 21339456
references.citation: J Allergy Clin Immunol. 2007 Dec;120(6):1389-98
references.pmid: 17910890
references.citation: Arch Dermatol. 2007 Sep;143(9):1113-21
references.pmid: 17875871
references.citation: Dermatol Clin. 2009 Apr;27(2):103-7, v
references.pmid: 19254652
references.citation: J Am Acad Dermatol. 2008 May;58(5):755-62
references.pmid: 18258332
references.citation: Arch Dermatol Res. 2009 Sep;301(8):573-9
references.pmid: 19603175
references.citation: Arch Dermatol. 2009 Dec;145(12):1369-74
references.pmid: 20026844
references.citation: Br J Dermatol. 2011 Mar;164(3):537-43
references.pmid: 21143464
references.citation: Int J Dermatol. 2011 May;50(5):552-7
references.pmid: 21506971
references.citation: J Am Acad Dermatol. 2008 Nov;59(5):741-5
references.pmid: 18723242
references.citation: Arch Dermatol. 1997 Nov;133(11):1433-40
references.pmid: 9371029
references.citation: J Invest Dermatol. 1997 Jun;108(6):897-900
references.pmid: 9182818
references.citation: Clin Exp Dermatol. 2010 Apr;35(3):228-32
references.pmid: 19886956
references.citation: Dermatol Surg. 2009 Jul;35(7):1041-9
references.pmid: 19438672
references.citation: J Community Health. 2011 Jun;36(3):461-8
references.pmid: 21080042
references.citation: J Invest Dermatol. 2011 Mar;131(3):623-30
references.pmid: 20944653
references.citation: Arch Dermatol. 2009 Jan;145(1):88-9
references.pmid: 19153354
references.citation: J Clin Oncol. 2009 Dec 20;27(36):6199-206
references.pmid: 19917835
references.citation: Br J Dermatol. 2010 Oct;163(4):789-99
references.pmid: 20854402
references.citation: Arch Dermatol. 2009 Oct;145(10):1195-6
references.pmid: 19841414
references.citation: Am J Med. 2004 Apr 1;116(7):503-7
references.pmid: 15047048
references.citation: J Invest Dermatol. 2011 May;131(5):1159-66
references.pmid: 21248765
references.citation: Arch Dermatol. 2011 May;147(5):540-6
references.pmid: 21576572