4.3 Article

Caregiver Preferences and Barriers Toward Accessing Pediatric Dermatology Care for Childhood Atopic Dermatitis

Journal

JOURNAL OF PEDIATRIC HEALTH CARE
Volume 36, Issue 4, Pages E1-E5

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.pedhc.2022.04.003

Keywords

Atopic dermatitis; eczema; health care access; disparities

Funding

  1. National Institute of Nursing Research of the National Institutes of Health [T32NR019035]
  2. Pediatric Dermatology Research Alliance Research Fellowship Grant
  3. Pfizer Dermatology Research Fellowship
  4. Dell Medical School at the University of Texas at Austin
  5. National Institutes of Health [K24AI114769, R01ES023447, R01ES026170]

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The study found that many caregivers feel that primary care providers and specialists equally listen to their child's AD concerns, but they prefer to see a specialist for ongoing management.
Introduction: Atopic dermatitis (AD) is a common chronic childhood illness. It is often treated by primary care providers (PCPs) though it may require referral to a dermatology specialist. Method: We administered an exploratory survey to 50 caregivers of children aged 0-17 years with AD to assess their preferences and barriers toward accessing dermatology specialty care for their child's AD. Results: Caregivers felt PCPs and specialists equally listened to their child's AD concerns. However, many felt there was a difference in the care provided and control of the AD and preferred to see a specialist for ongoing management. Discussion: Caregivers may benefit from their children being referred to dermatology specialists earlier and more often for their AD. Further work must be done to characterize preferences and barriers toward AD care across race and ethnicity.

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