01 / 22

The Dermatology
Retention Gap

661 specialist dermatologists. 2+ month wait times. 1 in 25 Australians with a chronic skin condition. And no systematic way to keep patients engaged between visits.

Routiq - Patient Intelligence for Dermatology Practices
02 / 22

An Industry Under Pressure

661
Specialist dermatologists (ACD Fellows) in Australia, plus 129 trainees
~2
Dermatologists per 100,000 population - 91% concentrated in metro areas
$1.7B
Annual skin cancer healthcare cost ($1.3B keratinocyte + $0.4B melanoma)
18,964
New melanoma diagnoses per year - one every 30 minutes
ACD, Cancer Australia, AIHW, NHWDS 2024
03 / 22

The Workforce Gap is Growing

A projected shortfall of 90 FTE dermatologists by 2030. Demand is rising, supply is not keeping up, and patients are falling through the cracks.

2+ months
Minimum wait for a dermatologist appointment - no central system for wait time or cost comparison
1 in 10
Australians who have avoided seeing a specialist due to out-of-pocket cost
90 FTE
Projected workforce shortfall by 2030 - listed on Core Skills in Demand for immigration
Dept of Health, The Canberra Times, ABS 2024
04 / 22

The Economics of
Dermatology Access

$297
Average initial consultation fee - up 41% from $210 in 2017
$84
Medicare rebate for initial consult - gap can be 4x the rebate amount
$166
Average follow-up fee - up 55% from $107 in 2017. Rebate only $42.30
$499M
PBS spending on melanoma systemic therapies - vs $62M prevention spend over 20 years
ACD, Medicare, PHRP 2025
05 / 22

What We See Across
Dermatology Practices

Every dermatology practice has patients who need ongoing care but have no system prompting them to return. With 2+ month wait times, delayed re-engagement means lost clinical continuity and lost revenue.

40-55%
Typical lapsed patient rate - patients overdue for follow-up skin checks or chronic condition reviews
1 in 25
Australians with a chronic skin condition requiring ongoing specialist management
Zero
Systematic outreach infrastructure. Recall is manual or non-existent in most practices
Routiq platform data, The Canberra Times 2024
06 / 22

The Dermatology
Dropout Pattern

Skin conditions are chronic by nature. Eczema, psoriasis, actinic damage, skin cancer surveillance - all require regular review. But without a prompt, patients drift.

16.4%
Lifetime prevalence of eczema - 600,000 Australians have moderate-to-severe disease
2.3-6.6%
Psoriasis prevalence in adults - among the highest rates globally
2 in 3
Australians diagnosed with skin cancer by age 70 - 69% lifetime risk
Australasian Journal of Dermatology, Cancer Australia, Australian Skin Cancer Foundation 2024
07 / 22
15.9%

of GP consultations involve
a skin condition

Yet only 8% of skin problems are referred to a specialist. 66% of GPs never use dermoscopy. Patients who do see a dermatologist and then lapse are falling back into a primary care system not equipped for their needs.

PMC / Australasian Journal of Dermatology, Family Practice / Oxford Academic 2025
08 / 22

Three Revenue Streams,
One Patient File

Dermatology sits at the intersection of medical necessity, chronic disease management, and elective aesthetics. Each stream has different recall cadences and different patient motivations.

Medical Dermatology

Skin cancer checks, mole mapping, excisions. Annual or 6-monthly surveillance. Clinical urgency drives return - but only if patients are prompted.

Chronic Conditions

Eczema, psoriasis, rosacea, acne. Ongoing management with 3-6 month review cycles. Patients lapse when symptoms ease - then relapse without support.

Cosmetic & Aesthetic

Laser, injectables, skin rejuvenation. $239M devices market growing at 11%+ CAGR. Treatment fading drives natural recall windows.

ACD, Mordor Intelligence, Bonafide Research 2025
09 / 22

The Revenue Sitting
in Your Patient File

A typical dermatology practice with 2,000+ patients has hundreds who are overdue for review. At $166-$297 per consultation, even modest reactivation rates generate significant returns.

$297
Average initial consultation - recovering even 10% of lapsed patients is meaningful
$166
Average follow-up visit - chronic condition patients return 2-4 times per year
1.1M+
Medicare-paid keratinocyte cancer treatments per year nationally - demand is not the problem
ACD, Australian Skin Cancer Foundation 2025
10 / 22

Already Working in
Allied Health

Routiq has been deployed across physiotherapy, podiatry, and cosmetics practices. The pattern is consistent: practices have a massive untapped recall opportunity and zero infrastructure to capture it.

18-22%
Typical reactivation rate on first outreach campaign across allied health practices
8-12x
Return on platform cost within the first 90 days of activation
<2 hrs
Time from connection to first patient messages being reviewed by clinical staff
Routiq platform data 2024-2025
11 / 22

“We already send recall letters”

Most dermatology practices rely on generic recall letters or no recall at all. The difference is intelligence - knowing which patients need what, when, and saying it in a way that drives action.

65%
Teledermatology referrals managed remotely - patients expect digital communication
76.4%
Teledermatology diagnostic concordance - digital engagement is already clinically validated
Australasian Journal of Dermatology 2024
12 / 22

Behavioural Science,
Not Marketing

Every message is engineered using established psychological frameworks. We match the right principle to each patient's clinical context and time since last visit.

Loss Aversion

Skin cancer surveillance patients respond to the risk of missing early detection - their previous investment in screening has value they can protect.

Status Quo Bias

Chronic condition patients default to not acting. Messages reframe the follow-up as a continuation of their existing care plan, not a new decision.

Endowment Effect

Cosmetic patients have already invested in skin quality. Messages anchor to protecting their existing results rather than selling new treatments.

Based on Kahneman & Tversky (1979), Thaler (1980), Samuelson & Zeckhauser (1988)
13 / 22

Skin Cancer Surveillance - 14 Months Since Last Check

SMS Preview
Hi [Name], it has been over 12 months since your last skin check at [Practice]. With Australia's skin cancer rates, annual monitoring helps catch changes early - when outcomes are best. Your previous results are on file and ready for comparison. Would you like to schedule your review? Reply YES or call [number].

Uses Loss Aversion (protecting previous screening investment) and Anchoring (their existing baseline is waiting for comparison). Clinically framed, not promotional.

14 / 22

Chronic Eczema - 5 Months Since Last Review

SMS Preview
Hi [Name], your last eczema review at [Practice] was in [Month]. Seasonal changes can shift flare patterns, and your management plan may benefit from a check-in. Dr [Name] can review your current approach and adjust if needed. Would you like to book? Reply YES or call [number].

Uses Status Quo Bias (continuing existing care, not starting new) and Goal Gradient (they are closer to stable management than they think). Frames the visit as maintenance, not intervention.

15 / 22

Campaign Architecture

Not batch-and-blast. Intelligent segmentation based on treatment history, condition type, and time elapsed. Every message is reviewed by your team before it sends.

Step 01

Connect

Routiq syncs with your practice management system. Patient history, appointment types, and contact details are mapped automatically.

Step 02

Segment

Patients are grouped by condition type, last visit date, and recall urgency. Skin cancer surveillance, chronic conditions, and cosmetic patients get different cadences.

Step 03

Draft

AI generates personalised messages using behavioural science principles matched to each segment. Every message lands in your review queue first.

Step 04

Review & Send

Your team approves, edits, or skips each message. Nothing goes out without clinical sign-off. Responses are tracked and fed back into the system.

16 / 22

Why Routiq for
Dermatology

Multi-Stream Intelligence

Dermatology is unique - medical, chronic, and cosmetic patients in one file. Routiq understands the different recall logic for each stream and messages accordingly.

Clinical Tone

Skin cancer recall is sensitive. Chronic condition messaging requires empathy. Cosmetic follow-up needs subtlety. Every message matches the clinical context.

Practitioner Control

Full review queue with approve, edit, skip. Your dermatologists and practice managers maintain complete control over patient communication.

17 / 22

What Changes

Without Routiq

  • Generic recall letters (if any)
  • Same message for skin cancer and eczema patients
  • No visibility into who is overdue
  • Receptionist manually checks patient files
  • Patients lapse silently
  • Revenue leaks to GP-managed care

With Routiq

  • Condition-specific, timed outreach
  • Different messaging per treatment stream
  • Real-time dashboard of overdue patients
  • AI drafts reviewed by your team
  • Patients prompted at the right moment
  • Revenue captured from existing patient base
18 / 22

The Compound Effect

Dermatology has natural compounding: skin cancer patients need annual checks indefinitely. Chronic condition patients need ongoing management. Cosmetic patients return on treatment cycles. Each reactivated patient generates recurring value.

$166-$297
Per visit range - a single reactivated skin cancer patient returning annually is worth $1,000+ over 5 years
$239M
Aesthetic devices market growing at 11%+ CAGR - cosmetic dermatology is expanding rapidly
45%
of Australians considering cosmetic procedures - demand for aesthetic dermatology is surging
ACD, Mordor Intelligence, IMARC Group 2025
19 / 22

Your Practice,
Your Numbers

A quick model for a dermatology practice with 1,500 patient records.

~675
Patients likely overdue for review (assuming 45% lapsed rate)
~135
Expected reactivations at 20% response rate on first campaign
~$31K
Recovered revenue at blended $231 average consultation value
Model based on ACD fee data and Routiq platform benchmarks
20 / 22
$31,185

from one campaign.

No new patients. No advertising. No additional clinical hours. Just intelligent re-engagement of people who already know and trust your practice.

21 / 22

See Your Own Numbers

Connect your practice management system and we will show you exactly how many patients are overdue, what they are overdue for, and the revenue opportunity sitting in your patient file. Takes less than 2 hours to set up.

Book a Demo

routiq.ai/demo

22 / 22

Sources

  • Australasian College of Dermatologists (ACD) - Workforce Data 2024
  • Cancer Australia - Melanoma Statistics 2024
  • AIHW / PHRP - Skin Cancer Economics 2022
  • Australian Skin Cancer Foundation - Prevalence Data 2024
  • Dept of Health - Australia's Future Health Workforce: Dermatology 2017
  • NHWDS - Dermatology Factsheet 2016
  • ACD - Cost to See a Dermatologist 2025
  • The Canberra Times / ABS - Dermatology Patient Crisis 2024
  • PMC / Australasian Journal of Dermatology - GP Skin Consultations 2025
  • Family Practice / Oxford Academic - GP Dermoscopy Usage 2025
  • Eczema Support Australia - Burden of Eczema 2023
  • PMC / Australasian Journal of Dermatology - Psoriasis Prevalence 2022
  • Mordor Intelligence - Aesthetic Devices Market 2025
  • Grand View Research - Facial Injectables Market 2023
  • IMARC Group - Medical Aesthetics Market 2024
  • Bonafide Research - Dermatology Laser Market 2026
  • Australasian Journal of Dermatology - Teledermatology 2024
  • Routiq Platform Data 2024-2025