Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Clinic for Dermatology and Allergology, St. Joseph Hospital, Clinical Center of the Ruhr University Bochum, Bochum, Germany.
J Dtsch Dermatol Ges. 2021 Oct;19 Suppl 5:25-53. doi: 10.1111/ddg.14620.
In Germany, skin diseases are mainly treated in the 115 dermatological hospitals.
Health care and health economic analysis of dermatological inpatient care and prediction of future care needs based on primary and secondary data.
Outpatient and inpatient care for dermatologic treatment indications is predominantly provided by dermatology specialists. Inpatient treatment was provided for 833,491 cases in 2018, corresponding to 4.21 % of all inpatient cases (19,808,687). Most common treatment cases were: epithelial skin cancer (total 87,386, of which dermatology clinics 52,608), followed by melanoma (23,917/17,774), psoriasis (19,291/13,352), erysipelas (73,337/11,260), other dermatitis (12,671/10,842), atopic dermatitis (AD) (11,421/9,734), and herpes zoster (26,249/9,652). With an average length of stay of 5.69 days, dermatology hospitals were in the bottom third. The proportion of inpatient indications cared for in dermatology hospitals was highest for prurigo (95.2 %), pemphigus (94.9 %), parapsoriasis (94.6 %), pemphigoid (90.3 %), eczema other than AD (85.6 %), and AD (85.2 %). While the total number of inpatient treatment cases in Germany has increased by an average of 17.5 % between 2000 and 2018, this is the case for 26.6 % of skin diseases and over 150 % for individual ones. The projection of current to future inpatient care suggests a continued high demand for inpatient care by dermatology hospitals.
Inpatient dermatological care will continue to be an indispensable component of qualified, socially necessary care in Germany.
在德国，皮肤病主要在 115 家皮肤科医院治疗。
基于初级和二级数据，对皮肤科住院患者的医疗保健和卫生经济分析以及未来护理需求进行预测。
皮肤科治疗指征的门诊和住院治疗主要由皮肤科专家提供。2018 年，住院治疗 833491 例，占住院总病例的 4.21%（19808687 例）。最常见的治疗病例是：上皮性皮肤癌（总计 87386 例，其中皮肤科诊所 52608 例），其次是黑色素瘤（23917/17774）、银屑病（19291/13352）、丹毒（73337/11260）、其他皮炎（12671/10842）、特应性皮炎（AD）（11421/9734）和带状疱疹（26249/9652）。平均住院时间为 5.69 天，皮肤科医院处于倒数第三位。在皮肤科医院治疗的住院指征中，瘙痒症（95.2%）、天疱疮（94.9%）、副银屑病（94.6%）、大疱性类天疱疮（90.3%）、非 AD 性湿疹（85.6%）和 AD（85.2%）的住院指征比例最高。虽然 2000 年至 2018 年间，德国住院治疗病例数平均增长了 17.5%，但皮肤病的这一比例为 26.6%，个别皮肤病的比例则超过 150%。目前到未来住院治疗的预测表明，皮肤科医院对住院治疗的需求将继续保持较高水平。
在德国，住院皮肤科护理将继续成为合格、社会必要护理不可或缺的组成部分。
