{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:46:01Z","timestamp":1790520361043,"version":"4.1.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2014,10,1]],"date-time":"2014-10-01T00:00:00Z","timestamp":1412121600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dermatitis\u00ae"],"published-print":{"date-parts":[[2014,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The length of time between onset of symptoms and definitive diagnosis is associated with outcomes in contact dermatitis (CD). Understanding the health care experience of patients with CD could identify areas for improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of the study was to describe the health care experience of individuals being patch tested and the barriers and facilitators to their seeking care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred forty-nine patients completed a survey containing information on types of health care providers seen, length of wait times, and barriers and facilitators to seeking care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty-six percent were first assessed by their family physicians. Forty-five percent waited more than 3 months before seeing a health care provider. Common reasons for delay included thinking their symptoms (1) would get better, (2) were not serious enough, or (3) were not limiting their ability to work or carry out other activities. Most patients waited less than 3 months for dermatological assessment and for patch test consultation after referral.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with possible CD spend considerable time in the health care system before they undergo definitive assessment. Understanding the reasons for not seeking care may be useful for promoting earlier evaluation and intervention to result in better outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/der.0000000000000059","type":"journal-article","created":{"date-parts":[[2014,9,10]],"date-time":"2014-09-10T06:57:34Z","timestamp":1410332254000},"page":"268-272","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Health Care Utilization Characteristics in Patch Test Patients"],"prefix":"10.1177","volume":"25","author":[{"given":"Sabrina","family":"Nurmohamed","sequence":"first","affiliation":[{"name":"From the *Faculty of Medicine, University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Bodley","sequence":"additional","affiliation":[{"name":"From the *Faculty of Medicine, University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Medicine and Dalla Lana School of Public Health, University of Toronto;"},{"name":"Department of Occupational and Environmental Health, St Michael\u2019s Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothy Linn","family":"Holness","sequence":"additional","affiliation":[{"name":"Department of Medicine and Dalla Lana School of Public Health, University of Toronto;"},{"name":"Department of Occupational and Environmental Health, St Michael\u2019s Hospital, Toronto, Ontario, Canada"},{"name":"Li Ka Shing Knowledge Institute, St Michael\u2019s Hospital, Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,10,1]]},"reference":[{"key":"e_1_3_1_2_2","first-page":"53","article-title":"Prevalence of patch testing and methodology of dermatologists in the US: results of a cross-sectional survey","volume":"13","author":"Warshaw EM","year":"2002","unstructured":"Warshaw EM, , Nelson D. Prevalence of patch testing and methodology of dermatologists in the US: results of a cross-sectional survey. Am J Contact Dermat, 2002; 13: 53\u201358.","journal-title":"Am J Contact Dermat"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/ajcd.2002.36642"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/ajcd.2002.36639"},{"key":"e_1_3_1_5_2","first-page":"5","article-title":"Patch-testing practices of American Contact Dermatitis Society members: a cross-sectional survey","volume":"14","author":"Warshaw EM","year":"2003","unstructured":"Warshaw EM, , Moore JB, , Nelson D. Patch-testing practices of American Contact Dermatitis Society members: a cross-sectional survey. Am J Contact Dermat, 2003; 14: 5\u201311.","journal-title":"Am J Contact Dermat"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.2310\/6620.2010.09074"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0960.2007.00321.x"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.2310\/derm.1.2004.2005"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1159\/000246056"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2007.08431.x"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2007.01305.x"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2009.09402.x"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2008.01346.x"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2010.09987.x"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2011.01997.x"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/01634989-199409000-00005"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0365-05962010000400006"},{"key":"e_1_3_1_18_2","first-page":"207","article-title":"Comparison of occupational and non-occupational contact dermatitis","volume":"5","author":"Holness DL","year":"1994","unstructured":"Holness DL, , Nethercott JR. Comparison of occupational and non-occupational contact dermatitis. Am J Contact Dermat, 1994; 5: 207\u2013212.","journal-title":"Am J Contact Dermat"}],"container-title":["Dermatitis\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1097\/DER.0000000000000059","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1097\/DER.0000000000000059","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1097\/DER.0000000000000059","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:03:20Z","timestamp":1777399400000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.1097\/DER.0000000000000059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,1]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2014,10,1]]}},"alternative-id":["10.1097\/DER.0000000000000059"],"URL":"https:\/\/doi.org\/10.1097\/der.0000000000000059","relation":{},"ISSN":["1710-3568","2162-5220"],"issn-type":[{"value":"1710-3568","type":"print"},{"value":"2162-5220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,1]]}}}