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Stratifying clinical complexity of dermatology outpatient visits: Validation of a pilot instrument
- Source :
- Journal of the American Academy of Dermatology. 88:e251-e258
- Publication Year :
- 2023
- Publisher :
- Elsevier BV, 2023.
-
Abstract
- The United States population is aging and increasing in comorbidity, and patient care is accordingly growing increasingly complex. Complexity impacts patterns of resource consumption, adverse event and medical error rates, health-related quality of life, physician burnout, and more. Tools capturing complexity can be of benefit in the modern value-based reimbursement landscape and have been well-studied in specialties other than dermatology. In this paper, we describe the validation of a tool specific to outpatient dermatologic care that captures the complexity of clinical visit medical decision-making. We performed a cross-sectional retrospective study to determine the inter-rater reliability and face validity of the tool. By objectively grading a clinical encounter based on clinical complexity, there is increased awareness of opportunities to improve clinical care and the allocation of healthcare costs and resources within the dermatologic community can be better assessed.
- Subjects :
- medicine.medical_specialty
education.field_of_study
business.industry
Population
Retrospective cohort study
Dermatology
Gee
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
030220 oncology & carcinogenesis
Health care
medicine
education
business
Grading (education)
Reimbursement
Face validity
Subjects
Details
- ISSN :
- 01909622
- Volume :
- 88
- Database :
- OpenAIRE
- Journal :
- Journal of the American Academy of Dermatology
- Accession number :
- edsair.doi.dedup.....582763f5eafc8fa0c1b98edaa3c6b5c7