Department of Dermatology, Venereology and Allergology, University Hospital Göttingen.
Hospital and Clinic for Dermatology and Allergology, Faculty of Medicine, Technical University Munich.
J Dtsch Dermatol Ges. 2023 Sep;21(9):964-971. doi: 10.1111/ddg.15123. Epub 2023 Jul 18.
Allergic medical care in Germany is organized on an interdisciplinary basis. An overview of the current care situation is necessary to manage and improve interdisciplinary cooperation.
Between January and February 2022, questionnaires were sent online and by mail to chief physicians of inpatient clinical departments to which most allergological diseases are assigned (dermatology, otorhinolaryngology [ENT], pulmonology, pediatrics, environmental/occupational medicine, gastroenterology; n = 899).
The response rate was 52.1%. Allergology departments of dermatology, ENT and pulmonology were predominantly located in metropolitan areas (> 100,000 inhabitants), whereas responses of pediatric departments were mostly from smaller towns. 76.8% of the respondents reported existing interdisciplinary treatment plans with other specialties. Pediatric and pulmonology clinics stated disproportionately few interdisciplinary treatment concepts with dermatology and ENT clinics, especially in smaller cities with < 100,000 inhabitants. Diagnosis and therapy of allergic rhinitis were performed in particular by the departments of ENT, asthma mainly by the pulmonology departments. Care of other allergological diseases was most frequently reported by chief physicians of dermatology and pediatrics.
In metropolitan areas, participating departments provide allergology care in a cooperative manner. A large spectrum of care is covered in cooperation with dermatological clinics. In more rural areas, cooperation is rarer; here, mainly pediatric departments provide allergological care, which may explain the more limited range of services compared to metropolitan areas.
德国的过敏医疗服务是基于跨学科的方式组织的。为了管理和改善跨学科合作，有必要了解当前的护理情况。
2022 年 1 月至 2 月，向大多数过敏疾病（皮肤科、耳鼻喉科、呼吸科、儿科、环境/职业医学、胃肠病学）分配住院临床科室的主任医师在线和通过邮件发送了问卷（n=899）。
回复率为 52.1%。皮肤科、耳鼻喉科和呼吸科的过敏科主要位于大都市地区（>100,000 居民），而儿科科室的回复主要来自较小的城镇。76.8%的受访者报告说与其他专科存在现有的跨学科治疗计划。儿科和呼吸科诊所表示与皮肤科和耳鼻喉科诊所的跨学科治疗概念特别少，尤其是在<100,000 居民的小城市。过敏性鼻炎的诊断和治疗主要由耳鼻喉科进行，哮喘主要由呼吸科进行。皮肤科和儿科主任报告说，他们负责其他过敏疾病的护理。
在大都市地区，参与的科室以合作的方式提供过敏护理。与皮肤科诊所合作涵盖了广泛的护理范围。在农村地区，合作较少；在这里，主要是儿科科室提供过敏护理，这可能解释了与大都市地区相比服务范围有限的原因。
