TY - JOUR T1 - Routine consultations for dermatology problems in adults in general practice: cross-sectional study JF - British Journal of General Practice JO - Br J Gen Pract DO - 10.3399/bjgp19X703397 VL - 69 IS - suppl 1 SP - bjgp19X703397 AU - Emma Le Roux AU - Peter Edwards AU - Emily Sanderson AU - Rebecca Barnes AU - Matthew Ridd Y1 - 2019/06/01 UR - http://bjgp.org/content/69/suppl_1/bjgp19X703397.abstract N2 - Background Dermatological conditions present frequently in general practice, and treatment failure is common due to low adherence with treatments. There has been little research exploring GP consultations for skin problems.Aim To describe consultations for skin problems in adults including shared decision making (SDM) around treatment decisions, delivery of self-management advice, and follow-up.Method Data were extracted from the One in a Million Study, an archive of 327 videorecorded routine GP adult consultations and linked data. A coding instrument was developed and refined, which was applied to all consultations where a skin problem was identified as having been discussed. SDM was assessed using OPTION. Twenty per cent of the consultations were double coded and inter-rater reliability assessed. Data were analysed using Stata, with descriptive statistics reported.Results In total 45 consultations (13.8%) were examined, featuring a mean of 2.2 problems. Of the 100 problem types, 51 were dermatological. Mean time spent on skin problems was 4:16 minutes (29.6% of total duration of consultations with ≥2 problems). SDM for skin problems was low, with mean OPTION score of 10.7 (range 0–35). Self-management advice was given for 47.1% of skin problems (verbal only). Most skin problems (84.3%) were not referred to secondary care; 32.6% of skin problems not referred were seen again in primary care within 12 weeks of the index consultation, of which 35.6% were unplanned.Conclusion Skin problems commonly present alongside other complaints. SDM and self-management advice are uncommon. While most dermatological problems are not referred, patients often re-consult for the same problem. ER -