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[皮肤科医生的新程序。改善职业性皮肤病二级预防的研究计划]

[New dermatologist's procedure. Research plans for improving secondary prevention of occupational dermatoses].

作者信息

Dickel H, John S M, Kuss O, Schwanitz H J

机构信息

Abteilung für Dermatologie, Umweltmedizin und Gesundheitstheorie, Universität Osnabrück, Osnabrück.

出版信息

Hautarzt. 2004 Jan;55(1):10-21. doi: 10.1007/s00105-003-0644-9.

Abstract

The dermatologist's procedure was introduced in 1972 by employers' liability insurance funds in the industrial, agricultural, and public sectors of Germany's statutory occupational accident insurance as a "procedure for early detection of occupational skin diseases." So far, it is still the most relevant tool for secondary prevention in occupational dermatology in Germany. According to the intention of this procedure, insured persons with a skin disease in which an occupational etiology is suspected must be offered preventive measures and, if necessary, given appropriate treatment to avoid job-loss. To improve the efficiency of the "classic" dermatologist's procedure, in 1999, on the initiative of the Central Federation of Industrial Professional Associations, a study group was founded in cooperation with the Task Force on Occupational and Environmental Dermatology of the German Dermatological Society and the Professional Organisation of German Dermatologists. In October 2002, a controlled intervention study started in North-western Germany to scientifically evaluate the "optimised" dermatologist's procedure, which was proposed by the study group and compare it to the standard ("classic") procedure. The study results should allow detailed suggestions for an improved dermatologist's procedure before it is introduced nationwide.

摘要

1972年,德国法定职业事故保险的工业、农业和公共部门的雇主责任保险基金引入了皮肤科医生程序,作为“职业皮肤病早期检测程序”。迄今为止,它仍是德国职业皮肤病二级预防中最相关的工具。根据该程序的意图,对于疑似患有职业性病因皮肤病的被保险人,必须提供预防措施,并在必要时给予适当治疗,以避免失业。为提高“经典”皮肤科医生程序的效率,1999年,在工业专业协会中央联合会的倡议下,与德国皮肤病学会职业与环境皮肤病特别工作组以及德国皮肤科医生专业组织合作成立了一个研究小组。2002年10月,在德国西北部开始了一项对照干预研究,以科学评估研究小组提出的“优化”皮肤科医生程序,并将其与标准(“经典”)程序进行比较。研究结果应能在全国推广之前,为改进皮肤科医生程序提供详细建议。

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