{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T21:58:01Z","timestamp":1778882281146,"version":"3.51.4"},"reference-count":31,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T00:00:00Z","timestamp":1396310400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T00:00:00Z","timestamp":1396310400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T00:00:00Z","timestamp":1599091200000},"content-version":"vor","delay-in-days":2347,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Actas Dermo-Sifiliogr\u00e1ficas (English Edition)"],"published-print":{"date-parts":[[2014,4]]},"DOI":"10.1016\/j.adengl.2013.10.005","type":"journal-article","created":{"date-parts":[[2014,3,22]],"date-time":"2014-03-22T01:50:41Z","timestamp":1395453041000},"page":"271-275","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Skin Conditions in Primary Care: An Analysis of Referral Demand"],"prefix":"10.1016","volume":"105","author":[{"given":"E.","family":"Castillo-Arenas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Garrido","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Serrano-Ortega","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.adengl.2013.10.005_bib0005","first-page":"148","article-title":"Estudios observacionales de la demanda en asistencia primaria","volume":"4","author":"Alonso","year":"1987","journal-title":"Aten Primaria"},{"key":"10.1016\/j.adengl.2013.10.005_bib0010","first-page":"107","article-title":"Skin disease in Lambeth. A community study of prevalence and use of medical care","volume":"30","author":"Rea","year":"1976","journal-title":"Brit J Prev Soc Med"},{"key":"10.1016\/j.adengl.2013.10.005_bib0015","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/S0095-4543(21)00269-4","article-title":"National Health Surveys for dermatology and its relationship to primary care","volume":"5","author":"Johnson","year":"1978","journal-title":"Prim Care"},{"key":"10.1016\/j.adengl.2013.10.005_bib0020","first-page":"22","article-title":"Primary dermatological care in general practice","volume":"34","author":"Steele","year":"1984","journal-title":"J R Coll Gen Pract"},{"key":"10.1016\/j.adengl.2013.10.005_bib0025","first-page":"113","article-title":"Estudio de los motivos de consulta en un medio rural","volume":"3","author":"Lucas","year":"1986","journal-title":"Aten Primaria"},{"key":"10.1016\/j.adengl.2013.10.005_bib0030","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1067\/mjd.2001.114598","article-title":"Dermatology in primary care: Prevalence and patient disposition","volume":"45","author":"Lowell","year":"2001","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.adengl.2013.10.005_bib0035","unstructured":"Valcayo A, Vives R, Artal F, Eciolaza JM, Parra A, Bernu\u00e9s C, et al. Frecuentaci\u00f3n de las consultas de atenci\u00f3n primaria por motivos dermatol\u00f3gicos en las zonas b\u00e1sicas de salud de la comarca de Pamplona. Anales Sis San Navarra. 1999;22 Supl 3:173\u20139."},{"key":"10.1016\/j.adengl.2013.10.005_bib0040","first-page":"479","article-title":"Asistencia m\u00e9dica ambulatoria: estudio estad\u00edstico de una consulta de medicina general en la Seguridad","volume":"82","author":"Gerv\u00e1s","year":"1984","journal-title":"Social Med Cl\u00edn (Barc)"},{"key":"10.1016\/j.adengl.2013.10.005_bib0045","doi-asserted-by":"crossref","first-page":"1638","DOI":"10.1001\/archderm.1987.01660360066014","article-title":"A survey of skin problems and skin care regimens in the elderly","volume":"123","author":"Beauregard","year":"1987","journal-title":"Arch Dermatol"},{"key":"10.1016\/j.adengl.2013.10.005_bib0050","series-title":"Dermatology in general medicine","first-page":"3","article-title":"Dermatology in the perspective of general medicine","year":"1987"},{"key":"10.1016\/j.adengl.2013.10.005_bib0055","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/S0001-7310(08)74657-X","article-title":"Estudio de concordancia diagn\u00f3stica en Dermatolog\u00eda entre Atenci\u00f3n Primaria y Especializada en el \u00e1rea de salud de un hospital de referencia","volume":"99","author":"Porta","year":"2008","journal-title":"Actas Dermosifiliogr"},{"key":"10.1016\/j.adengl.2013.10.005_bib0060","first-page":"129","article-title":"\u00cdndice de sospecha de malignidad del m\u00e9dico no dermat\u00f3logo","volume":"4","author":"Chouela","year":"1998","journal-title":"Dermatol Argen"},{"key":"10.1016\/j.adengl.2013.10.005_bib0065","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1136\/qhc.10.1.33","article-title":"Improving the interfase between primary and secondary care: A statement from the European Working Party on Quality in Family Practice (EQuiP)","volume":"10","author":"Kvamme","year":"2001","journal-title":"Qual Health Care"},{"key":"10.1016\/j.adengl.2013.10.005_bib0070","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1093\/fampra\/11.3.307","article-title":"Primary care, financing and gatekeeping in western Europe","volume":"11","author":"Gervas","year":"1994","journal-title":"Fam Pract"},{"key":"10.1016\/j.adengl.2013.10.005_bib0075","first-page":"170","article-title":"Estructura e interrelaci\u00f3n entre los distintos niveles asistenciales","volume":"6","author":"Sainz S\u00e1enz-Torre","year":"1989","journal-title":"Aten Primaria"},{"key":"10.1016\/j.adengl.2013.10.005_bib0080","first-page":"200","article-title":"An\u00e1lisis de las interconsultas y pruebas complementarias solicitadas por un Centro de Salud en un periodo de tres a\u00f1os","volume":"7","author":"Buitrago Ram\u00edrez","year":"1990","journal-title":"Aten Primaria"},{"key":"10.1016\/j.adengl.2013.10.005_bib0085","first-page":"661","article-title":"Dermatolog\u00eda y asistencia primaria","volume":"90","author":"Ferrando","year":"1988","journal-title":"Med Cl\u00edn (Barc)"},{"key":"10.1016\/j.adengl.2013.10.005_bib0090","first-page":"1149","article-title":"Diagnosis of skin disease by nondermatologists","volume":"6","author":"Fleischer","year":"2000","journal-title":"Am J Manag Care"},{"key":"10.1016\/j.adengl.2013.10.005_bib0095","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1111\/j.1365-2929.2007.02711.x","article-title":"A cluster design controlled trial of arts-based observational skills training in primary care","volume":"41","author":"Kirklin","year":"2007","journal-title":"J Med Educ"},{"key":"10.1016\/j.adengl.2013.10.005_bib0100","unstructured":"International Statistical Classification of Diseases and Related Health Problems. 10th revision. Chapter XII. Diseases of the skin and subcutaneous tissue (L00-L99) [accessed 10 Sep 2013]. Available at: http:\/\/apps.who.int\/classifications\/icd10\/browse\/2010\/en#\/XII"},{"key":"10.1016\/j.adengl.2013.10.005_bib0105","unstructured":"ISCO. International Standard Classification of Occupations [consultado 10 Sep 2013]. Available at: http:\/\/www.ilo.org\/public\/english\/bureau\/stat\/isco\/index.htm"},{"key":"10.1016\/j.adengl.2013.10.005_bib0110","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/S0001-7310(06)73467-6","article-title":"An\u00e1lisis de los motivos de consulta y de su coste en la asistencia dermatol\u00f3gica en un centro de Atenci\u00f3n Primaria","volume":"97","author":"Macaya-Pascual","year":"2006","journal-title":"Actas Dermosifiliogr"},{"key":"10.1016\/j.adengl.2013.10.005_bib0115","first-page":"681","article-title":"An\u00e1lisis de las urgencias dermatol\u00f3gicas de un hospital terciario","volume":"87","author":"Gil","year":"1996","journal-title":"Actas Dermosifiliogr"},{"key":"10.1016\/j.adengl.2013.10.005_bib0120","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/S0001-7310(01)79152-1","article-title":"Urgencias dermatol\u00f3gicas en un hospital de referencia","volume":"92","author":"Gonz\u00e1lez","year":"2001","journal-title":"Actas Dermosifiliogr"},{"key":"10.1016\/j.adengl.2013.10.005_bib0125","first-page":"353","article-title":"Urgencias en Dermatolog\u00eda","volume":"88","author":"Ribera","year":"1997","journal-title":"Actas Dermosifilogr"},{"key":"10.1016\/j.adengl.2013.10.005_bib0130","first-page":"54","article-title":"Urgencias en Dermatolog\u00eda","volume":"7","author":"L\u00f3pez","year":"1996","journal-title":"Arch Dermatol (ed esp)"},{"key":"10.1016\/j.adengl.2013.10.005_bib0135","first-page":"675","article-title":"Urgencias en Dermatolog\u00eda. Estudio descriptivo","volume":"76","author":"Herrera","year":"1996","journal-title":"Actas Dermosifiliogr"},{"key":"10.1016\/j.adengl.2013.10.005_bib0140","first-page":"131","article-title":"An\u00e1lisis de las derivaciones urgentes a dermatolog\u00eda","volume":"21","author":"Elcuaz","year":"1998","journal-title":"Aten Primaria"},{"key":"10.1016\/j.adengl.2013.10.005_bib0145","first-page":"233","article-title":"Estudio de las consultas dermatol\u00f3gicas ambulatorias urgentes en el \u00c1rea Sanitaria de La Coru\u00f1a","volume":"12","author":"Garc\u00eda","year":"1997","journal-title":"Piel"},{"key":"10.1016\/j.adengl.2013.10.005_bib0150","first-page":"67","article-title":"Evaluaci\u00f3n de la validez diagn\u00f3stica y terap\u00e9utica de las derivaciones recibidas en la consulta de Dermatolog\u00eda de un hospital comarcal","volume":"91","author":"Roman\u00ed","year":"2000","journal-title":"Actas Dermosifiliogr"},{"key":"10.1016\/j.adengl.2013.10.005_bib0155","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1001\/archderm.1996.03890330044008","article-title":"Primary care physicians as gatekeepers in managed care","volume":"132","author":"Gerbert","year":"1996","journal-title":"Arch Dermatol"}],"container-title":["Actas Dermo-Sifiliogr\u00e1ficas (English Edition)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1578219014000468?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1578219014000468?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T03:52:19Z","timestamp":1761623539000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1578219014000468"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["S1578219014000468"],"URL":"https:\/\/doi.org\/10.1016\/j.adengl.2013.10.005","relation":{},"ISSN":["1578-2190"],"issn-type":[{"value":"1578-2190","type":"print"}],"subject":[],"published":{"date-parts":[[2014,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Skin Conditions in Primary Care: An Analysis of Referral Demand","name":"articletitle","label":"Article Title"},{"value":"Actas Dermo-Sifiliogr\u00e1ficas (English Edition)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.adengl.2013.10.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.ad.2013.10.003","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2013 Elsevier Espa\u00f1a, S.L. and AEDV. All rights reserved.","name":"copyright","label":"Copyright"}]}}