Integrated in-patient and out-patient dermatology management.

The physical integration of out-patient clinics, out-patient treatment and in-patient management areas allows full cohesion and continuity of medical and nursing care of dermatology patients. The conversion of a dermatology ward to an out-patient treatment centre has resulted in major benefits in the daily management of dermatology patients, allowing increased flexibility of care despite a reduction in bed numbers and financial savings. Broad changes in concepts of dermatology management are described and arguments given which may be used in the negotiation for improved facilities.