title: [Cooperation among clinics and practices. Integrated medical care in occupational dermatology].
abstract: Preventive measures in occupational dermatology have proven to be very effective in recent years, especially measures of primary and secondary prevention as components of a complex hierarchical prevention concept. For those cases of occupational dermatoses in which these outpatient prevention measures are not successful, interdisciplinary inpatient rehabilitation measures have been developed ("tertiary individual prevention" [TIP]). TIP comprises 3 weeks inpatient treatment including intensive disease-oriented teaching and psychological counseling, followed by outpatient treatment by the local dermatologist. In 2005, a German prospective cohort multicenter study ("Medizinisch-Berufliches Rehabilitationsverfahren Haut--Optimierung und Qualitätssicherung des Heilverfahrens" [ROQ]) started which will further standardize TIP and evaluate long-term success and scientific sustainability in depth. This integrated concept of an inpatient/outpatient disease management reveals remarkable pertinent options for patients with severe occupational dermatoses in all high-risk professions.
authors.affiliation: Fachgebiet Dermatologie, Umweltmedizin, Gesundheitstheorie der Universität Osnabrück, Sedanstr. 115, 49090, Osnabrück. cskudlik@uos.de
authors.forename: C
authors.initials: C
authors.lastname: Skudlik
authors.forename: M
authors.initials: M
authors.lastname: Jünger
authors.forename: K
authors.initials: K
authors.lastname: Palsherm
authors.forename: K
authors.initials: K
authors.lastname: Breuer
authors.forename: S
authors.initials: S
authors.lastname: Brandenburg
authors.forename: S M
authors.initials: SM
authors.lastname: John
mesh_terms: D000486:Allergy and Immunology / Q000639:trends*; D019033:Delivery of Health Care, Integrated / Q000639:trends*; D009783:Dermatitis, Occupational / Q000175:diagnosis* / Q000517:prevention & control*; D003880:Dermatology / Q000639:trends*; D005858:Germany; D006801:Humans; D009787:Occupational Medicine / Q000639:trends*