Buy this Article for $10.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.


Health Services Accessibility, Dermatology, Survey Research, Pilot Studies, Patient-Centered Care



  1. Cyr, Melissa E.
  2. Guthrie, Barbara J.
  3. Board, Rhonda M.
  4. Boucher, Daryl
  5. Benneyan, James C.


Background: 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.


Objective: The aim of this study was to design and pilot a survey instrument to document patients' perceived barriers to dermatology care access.


Methods: 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.


Results: 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: 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.


Conclusions: 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.