Department of Dermatology and Allergy, Copenhagen University Hospital - Herlev and Gentofte, Denmark, The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Denmark, and National Allergy Research Center, Copenhagen University Hospital - Herlev and Gentofte, Denmark.
National Allergy Research Center, Copenhagen University Hospital - Herlev and Gentofte, Denmark.
Acta Derm Venereol. 2024 Jun 3;104:adv34961. doi: 10.2340/actadv.v104.34961.
Atopic diseases such as atopic dermatitis, food allergy, allergic rhinoconjunctivitis, and/or asthma are common. In Denmark, however, there are multiple referral pathways for these diseases in the healthcare system and they are poorly understood. To describe how children with atopic diseases navigate their way through the Danish healthcare system, a questionnaire was distributed to children aged ≤ 17 years, who were being treated for atopic diseases between August 2020 and June 2021, either by a practising specialist or a hospital department, in the Capital Region of Denmark. A total of 279 children completed the questionnaire and most were referred to a specialist or to a hospital by their general practitioner. No "common track" to hospital existed for patients with ≥ 3 atopic diseases. These patients were more often referred to a hospital compared with children with 2 atopic diseases or fewer (odds ratio [OR] 3.79; 95% CI 2.07-7.24). The primary determinants for hospital treatment were food allergy (OR 4.69; 95% CI 2.07-10.61) and asthma (OR 2.58; 95% CI 1.18-5.63). In conclusion, children with multiple atopic diseases were more likely to be referred to hospital departments than to practising specialists, mainly due to food allergies.
特应性疾病（如特应性皮炎、食物过敏、过敏性鼻结膜炎和/或哮喘）较为常见。然而，在丹麦，这些疾病在医疗保健系统中有多种转诊途径，且人们对此了解甚少。为了描述特应性疾病患儿如何在丹麦医疗保健系统中就诊，我们向 2020 年 8 月至 2021 年 6 月期间在丹麦首都大区接受特应性疾病治疗的≤17 岁患儿发放了一份调查问卷，这些患儿的治疗医师分别为执业专家或医院科室。共有 279 名儿童完成了问卷，大多数儿童是由全科医生转诊给专家或医院的。≥3 种特应性疾病的患者没有通向医院的“常规途径”。与有 2 种或更少特应性疾病的儿童相比，这些患者更常被转诊至医院（比值比 [OR] 3.79；95%置信区间 [CI] 2.07-7.24）。医院治疗的主要决定因素是食物过敏（OR 4.69；95% CI 2.07-10.61）和哮喘（OR 2.58；95% CI 1.18-5.63）。总之，患有多种特应性疾病的儿童更有可能被转诊至医院科室，而不是执业专家，主要是由于食物过敏。
