Fischer M, Bergert H, Marsch W C
Universitätsklinik und Poliklinik für Dermatologie und Venerologie der Martin-Luther-Universität Halle-Wittenberg, Halle (Saale).
Hautarzt. 2004 Jun;55(6):543-8. doi: 10.1007/s00105-004-0736-1.
Dermatology and venereology, as a cross-sectional discipline, plays an important role in the interdisciplinary care of inpatients. Nonetheless, only a few studies on dermatological consultations have been performed. We reviewed the dermatological consulting service at the University Hospital of the Martin-Luther-University, Halle, Germany.
All consultations performed in 2001 and 2002 were retrospectively assessed. In addition, the time spent in consulting activities was prospectively recorded over a period of six months (January-June 2003).
A total of 2390 consultations were evaluated. Most of the consultations (42.8%) were made on internal medicine wards, followed by pediatrics (11.7%), neurology (9.9%) and cardiothoracic surgery (5.7%). Infectious skin diseases accounted for the most frequent diagnosis at 24.4%. The time lapse between request and performance of the consultation averaged 1.1 days. Patients older than 40 years needed dermatological consultation more frequently than younger patients. The duration of consultation averaged 23 minutes (time to site, patient examination, documentation). Thus, the man-hours required for the consulting service is 33.6 per month.
The study emphasizes that dermatological consultation services make an important contribution to the care of inpatients. In light of increasing specialization in medicine, the consulting service guarantees interdisciplinary treatment of the patients and is thus an important quality parameter for inpatient care.
皮肤科与性病科作为一门交叉学科,在住院患者的多学科护理中发挥着重要作用。然而,关于皮肤科会诊的研究却为数不多。我们回顾了德国哈雷马丁 - 路德大学附属医院的皮肤科会诊服务情况。
对2001年和2002年进行的所有会诊进行回顾性评估。此外,在2003年1月至6月的六个月期间前瞻性记录会诊活动所花费的时间。
共评估了2390例会诊。大多数会诊(42.8%)在内科病房进行,其次是儿科(11.7%)、神经科(9.9%)和心胸外科(5.7%)。感染性皮肤病是最常见的诊断,占24.4%。会诊申请与执行之间的平均时间间隔为1.1天。40岁以上的患者比年轻患者更频繁地需要皮肤科会诊。会诊平均持续时间为23分钟(到达现场、检查患者、记录的时间)。因此,会诊服务每月所需的工时为33.6。
该研究强调皮肤科会诊服务对住院患者的护理做出了重要贡献。鉴于医学专业化程度的提高,会诊服务保障了患者的多学科治疗,因此是住院护理的一个重要质量参数。