Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España; TECe19-Dermatología Clínica y Traslacional, Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, España.
Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España; TECe19-Dermatología Clínica y Traslacional, Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, España.
Actas Dermosifiliogr. 2022 May;113(5):467-480. doi: 10.1016/j.ad.2021.10.006. Epub 2021 Nov 2.
No recent data on health care resources and medical and surgical activity in Spanish dermatology departments are available in the literature. The aim of this study was to compile this information for 2019.
Cross-sectional study based on an online survey sent to the heads of dermatology departments at public hospitals in Spain.
Of the 162 department heads contacted, 59 answered the survey (participation rate, 36.4%). General findings included a shortage of staff, especially dermatologists, in hospitals of low and medium complexity. The main reason given for the shortage of dermatologists was a lack of interested applicants. Large hospital complexes had more infrastructure and equipment. Over 50% of the departments surveyed used a combination of in-person and virtual visits. Psoriasis units were the most common specialized care units. Approximately 75% of the hospitals had operating rooms with an anesthetist. More complex procedures such as sentinel lymph node biopsy and Mohs micrographic surgery were performed more often in large hospital complexes. Hospitalization and the presence of dermatology residents working call shifts were also more common in these hospitals. Teaching and research activity differed according to hospital complexity.
We have mapped health care resource availability and medical and surgical activity in Spanish dermatology departments prior to the COVID-19 pandemic. Our findings could be useful for improving clinical management and defining future actions and areas for improvement.
目前文献中尚无关于西班牙皮肤科部门医疗资源以及医疗和手术活动的最新数据。本研究旨在汇编 2019 年的相关信息。
这是一项基于向西班牙公立医院皮肤科主任发放在线调查问卷的横断面研究。
在联系的 162 名部门主任中，有 59 名（参与率为 36.4%）回答了调查。主要发现包括低、中复杂程度医院的工作人员短缺，尤其是皮肤科医生。皮肤科医生短缺的主要原因是缺乏有兴趣的申请人。大型医院综合体拥有更多的基础设施和设备。超过 50%的调查部门采用了面对面和虚拟就诊相结合的方式。银屑病专科是最常见的专科护理单位。约 75%的医院都设有配备麻醉师的手术室。在大型医院综合体中，更常进行诸如前哨淋巴结活检和 Mohs 显微外科手术等复杂手术。这些医院的住院治疗和皮肤科住院医师轮班工作也更为常见。教学和研究活动因医院的复杂程度而异。
我们已经在 COVID-19 大流行之前绘制了西班牙皮肤科部门的医疗资源可用性以及医疗和手术活动图谱。我们的研究结果可能有助于改善临床管理，并确定未来的行动和改进领域。
