Zoe Diana Draelos, M.D., is a consulting professor of dermatology, Duke University School of Medicine, Durham, N.C. She is investigator, Dermatology Consulting Services, High Point, N.C., and a Dermatology Times Editorial Advisor and co-medical editor.
Facial care advice for patients with acne
While both benzoyl peroxide acne preparations and vitamin C products carry benefits in acne treatment, it’s wise to recall the characteristics of each element in advising patients on caring for their skin. Vitamin C is rapidly oxidized with exposure to air. Benzoyl peroxide is an oxidant. This is how Dr. Draelos suggests these products be used.
The economies of scale leading to superior pay are only realized in huge ACOs that cover large numbers of patients who are healthy or face entry barriers to the medical system. While treating dermatologic conditions improves patient quality of life perceptions, it does not lead to decreased healthcare utilization. The best approach for dermatology issues is to tell the patient their psoriasis is really very minor, not worth treating, and it is unnecessary to see a dermatologist.