LAUSR

Abstract Purpose Racial/ethnic differences in health care are pervasive in the USA, but the literature is limited with regards to racial disparities in the treatment of dermatologic diseases. Materials and methods Data on the management of skin ulcers was analyzed from the National Ambulatory Medical Care Survey (NAMCS) from 2012 to 2018. Data distributions between Blacks and Whites, chi-squared statistics, and Fisher Exact Tests were computed to identify significant differences in demographic factors, patient encounter characteristics, and medication prescribed, as a function of race. Results Blacks were less likely than Whites to receive: care by a physician (p = .0389), a skin examination (p < .0001), or cryotherapy (p < .0175). Blacks were more likely to be seen by a nurse practitioner (p = .0359). Whites were 6.698 times more likely than Blacks to have a follow up visit scheduled after 2 months or more. Conclusions Our data suggests that among outpatient visits for skin ulcers in the USA, racial disparities exist in the probability of seeing a physician, receiving treatment, and follow-up care. Further research must be conducted and interventions implemented in order to combat racial disparities in Black patients’ access to dermatologic treatment for skin ulcers.