Neue Versorgungsformen in der Dermatologie : Vernetzte stationär-ambulante Prävention von schweren Berufsdermatosen ; Eckpunkte für eine funktionierende integrierte Versorgung in Klinik und Praxis
Titelvariante(n): | New forms of management in dermatology. Integrated in-patient-out-patient prevention of severe occupational dermatoses: cornerstones for an effective integrated management in clinics and practices | Autor(en): | John, Swen-Malte Skudlik, Christoph |
Affiliationen: | Universität Osnabrück. johnderm@uos.de | Erscheinungsdatum: | 2006 | Journal: | Das Gesundheitswesen | Volumen: | 68 | Ausgabe: | 12 | Startseite: | 769 | Seitenende: | 774 | Zusammenfassung: | Occupational dermatoses (OD) are the most frequent occupational diseases in Germany and amount to more than 25% of all suspected occupational diseases. Preventive measures have proven to be very effective in recent years, especially measures of primary and secondary prevention as components of a complex hierarchical prevention concept in wet work occupations. If employees are in danger of loosing their job due to a severe OD, intensive interdisciplinary measures of tertiary individual prevention (TIP) are required. TIP comprises 2-3 weeks of in-patient treatment plus intensive health-pedagogic counselling, followed by 3 consecutive weeks (or longer) of out-patient treatment by the local dermatologists ("Osnabrueck model"). Each patient will stay off work for a total of at least 6 weeks to allow full barrier-recovery. It could be shown that 2/3 of the patients successfully remained in their workplaces because of TIP. TIP reveals remarkable pertinent options for interdisciplinary disease management in severe OD in all risk professions. In Germany recently, a multi-centre study was started which will further standardise such preventive measures and evaluate their long-term success. |
DOI: | 10.1055/s-2006-927206 |
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