With malignant melanoma incidence rates at a historic national high and greater tumor thickness being the most significant prognostic determinant, early lesion detection and treatment remain the most crucial factors for improving health outcomes.
The aim of this study was to design and pilot a survey instrument to document patients’ perceived barriers to dermatology care access.
A retrospective, descriptive design and a convenience sample of 50 adult participants via a conceptually derived survey were used. Data analyses included descriptive statistics and frequencies; the survey was designed to be analyzed in a subsequent study with other types of data that were not collected as part of this pilot.
Twenty-one (42%) of participants reported receipt of dermatology care, five (10%) reported no care, and 24 (48%) did not respond to this question. Overall, 30 surveys (60%) were returned incomplete to varying degrees.
Limitations included a small sample size from a homogenous population with access to dermatology care. The reliability and validity of this tool were not evaluated.
It was unclear whether lower completion rates were attributed to the survey or study design, but several research-driven suggestions were made that may be helpful in improving this tool for future use.
Melissa E. Cyr, MS, ANP, FNP, Bouvé College of Health Sciences, Northeastern University, and Healthcare Systems Engineering Institute, Northeastern University, Boston, MA.
Barbara J. Guthrie, PhD, RN, Bouvé College of Health Sciences, Northeastern University, Boston, MA.
Rhonda M. Board, PhD, RN, Bouvé College of Health Sciences, Northeastern University, Boston, MA.
Daryl Boucher, EdD, RN.
James C. Benneyan, PhD, Healthcare Systems Engineering Institute, Northeastern University, Boston, MA.
The authors declare no conflict of interest.
Correspondence concerning this article should be addressed to Melissa E. Cyr, MS, ANP, FNP, Bouvé College of Health Sciences, Northeastern University, 360 Huntington Ave., Boston, MA 02115. E-mail: email@example.com
Online date: September 9, 2019