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Vol. 110. Num. 2.
Pages e7-e12 Pages 87-180 (March 2019)
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Vol. 110. Num. 2.
Pages e7-e12 Pages 87-180 (March 2019)
Original Article
DOI: 10.1016/j.adengl.2019.01.013
Survey on Private Dermatology Practice Characteristics and Fees in Spain in 2018
Encuesta sobre las características y honorarios de la práctica dermatológica privada española en 2018
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A. Martin-Gorgojoa,
Corresponding author
alejandromartingorgojo@aedv.es

Corresponding author.
, I. García-Dovalb, E. del Río de la Torrec
a Clínica Dermatológica Internacional, Madrid, España
b Clínica Vida, Vigo, España
c Clínica Dermalar, Santiago de Compostela, España
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Tables (5)
Table 1. Demographic Data and Professional Affiliation.
Table 2. Payment-Collection, Promotion and Price-Change Habits.
Table 3. Habits in Price-Setting and Provision of Services.
Table 4. Fees Established by the Surveyed Dermatologists.
Table 5. Differences in Fees Based on Sex of Specialist.
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Abstract
Background and objective

Per-visit fees and the characteristics of private practice in dermatology have been studied very little, at least in Spain. This study aims to describe how dermatologists in private practice in Spain provide services, collect payment, promote their services, and establish fees. We also analyze differences by region, age, and sex.

Materials and methods

We performed a descriptive, cross-sectional study based on an online questionnaire with a total of 31 questions aimed exclusively at dermatologists in private practice in Spain. The questionnaire was open for responses from May 17 to June 5, 2018. The data were analyzed by comparing region, sex, and age.

Results

A total of 234 questionnaires were returned, with equal numbers of male and female respondents and proportional numbers in terms of the regional sections of the Spanish Academy of Dermatology and Venereology (AEDV). Some differences were found for region, age, and sex. The fees of female dermatologists were consistently lower, even after adjusting for confounding factors by means of regression models.

Conclusions

We have described the characteristics of private dermatology practice in Spain. Charging of lower fees by female dermatologists requires more detailed study, probably using qualitative research techniques.

Keywords:
Economics
Fees
Private sector
Private practice
Gender identity
Age factors
Resumen
Antecedentes y objetivo

Las tarifas por acto médico y los hábitos de asistencia privada de los dermatólogos apenas han sido objeto de estudio, al menos en nuestro entorno inmediato. Con el presente trabajo pretendemos describir hábitos de prestación de servicios, medios de cobro, promoción y fijación de tarifas de los dermatólogos que realizan asistencia privada en España. Secundariamente, buscamos analizar las diferencias por sección territorial, edad y sexo.

Materiales y métodos

Estudio descriptivo transversal a partir de un cuestionario on-line con un total de 31 preguntas dirigido exclusivamente a dermatólogos con asistencia privada en España, abierto a respuestas del 17 de mayo al 5 de junio de 2018. Los datos fueron analizados comparando por sección territorial, sexo y edad.

Resultados

Se recibió un total de 234 respuestas, paritarias en cuanto a sexo y proporcionadas en cuanto a las secciones territoriales de la Academia Española de Dermatología y Venereología (AEDV). Pudieron constatarse algunas diferencias por sección territorial, edad y sexo. Destacaban las tarifas sistemáticamente menores de las dermatólogas, incluso tras ajustar por factores de confusión mediante modelos de regresión.

Conclusiones

Quedan descritas características de la asistencia privada en Dermatología en España. El hecho de que haya tarifas más baratas entre las dermatólogas requiere de un estudio más detallado, probablemente mediante técnicas de investigación cualitativa.

Palabras clave:
Economía
Remuneración
Sector privado
Práctica privada
Identidad de género
Factores etarios

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