Preferences for aspects of a dermatology consultation

Joanna Coast, C Salisbury, D de Berker, A Noble, S Horrocks, T Peters, T Flynn

    Research output: Contribution to journalArticle

    52 Citations (Scopus)


    BACKGROUND: General practitioners with special interests (GPSIs) are increasingly being used to provide dermatology services in the U.K. Little is known about U.K. dermatology patient attitudes to proposed variations in secondary care service delivery or the values they attach to aspects of the care they receive. OBJECTIVES: To quantify preferences for different attributes of care within dermatology secondary care services. METHODS: Attributes of care that are important to dermatology patients were derived using in-depth qualitative interviews with 19 patients at different points in the care pathway. A discrete choice experiment using 'best-worst scaling' was sent by post to 119 patients referred to secondary care dermatology services and suitable for GPSI care who had agreed to participate in research. RESULTS: Four attributes were derived from the qualitative work: waiting, expertise, thorough care and convenience. For the discrete choice experiment, 99 patients returned questionnaires, 93 of which contained sufficient data for analysis. All attributes were found to be quantitatively important. The attribute of greatest importance was expertise of the doctor, while waiting time was of least importance. Respondents were willing to wait longer than the current 3 months maximum to receive care that was thorough, 2.1 months to see a team led by an expert and 1.3 months to attend a consultation that is easy to get to. CONCLUSIONS: Although the need to reduce outpatient waiting times is a key policy driver behind the expansion of GPSI services, this does not appear to be the most important issue for patients. The thoroughness with which the consultation is provided and the expertise of the clinician seen are higher priorities.
    Original languageEnglish
    Pages (from-to)387-392
    Number of pages6
    JournalBritish Journal of Dermatology
    Issue number2
    Publication statusPublished - 1 Aug 2006


    • expertise
    • dermatology outpatient care
    • waiting
    • discrete choice experiment
    • general practitioner with special interests


    Dive into the research topics of 'Preferences for aspects of a dermatology consultation'. Together they form a unique fingerprint.

    Cite this