title: [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].
abstract: 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.
authors.affiliation: Universität Osnabrück. johnderm@uos.de
authors.forename: S M
authors.initials: SM
authors.lastname: John
authors.forename: C
authors.initials: C
authors.lastname: Skudlik
mesh_terms: D000553:Ambulatory Care / Q000379:methods / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated / Q000379:methods / Q000458:organization & administration*; D009783:Dermatitis, Occupational / Q000628:therapy*; D005858:Germany; D006760:Hospitalization / Q000639:trends*; D006801:Humans; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000639:trends*