Waiting Times to See a Dermatologist Are Perceived as Too Long by Dermatologists

Abstract
THE ECONOMIC disincentives used in some managed care systems to reduce the use of specialist services have been of concern to dermatologists.1-3 Patients enrolled in a health maintenance organization are less likely to have their skin care provided by dermatologists than are patients with commercial insurance.4 The percentage of skin disease visits in the United States managed by dermatologists has decreased from 50% in 1973 to 33% in 1995, and the number of patients seen per dermatologist per year is decreasing.5,6 These changes have been interpreted as being indications of an "oversupply" of dermatologists as well as a need to reduce the "production" of new dermatologists.