Christensen Elisabeth M M, Jemec Gregor, Saunte Ditte Marie L, Mortensen Ole Steen
Department of Dermatology, Zealand University Hospital, Roskilde, Denmark.
Department of Dermatology, Zealand University Hospital, Roskilde, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark; Department of Allergy, Dermatology and Venereology, Copenhagen University Hospital - Herlev and Gentofte Hospital, Hellerup, Denmark.
Acta Derm Venereol. 2025 Mar 3;105:adv42622. doi: 10.2340/actadv.v105.42622.
Increasing evidence supports the idea that social determinants of health, e.g., educational attainment, employment, and community context, directly affect health status. Researchers are also beginning to explore the impact of social factors on skin diseases, though no formalized research field, to the authors' knowledge, provides a structured framework for such practice. In this article, the novel global research field of "Social Dermatology" is introduced to structure academic knowledge in dermatology. The aim is to outline how this paradigm shift could transform both clinical practice and scientific research. The field will explore subjects studied within the medical field of Social Medicine, adapting and applying them to the context of dermatology. Specifically the article will address the social determinants of health in dermatology, and elaborate on human functioning as an approach to a more comprehensive understanding of health in people with skin diseases. This approach enables the integration of rehabilitative aspects, with the International Classification of Functioning (ICF) guiding research and clinical practice to promote more equitable and patient-centred care. To address methodological and communicative opportunities it is suggested that a theoretical web-based social incubator be developed. A formal agreement on the values, interests, and challenges of this new field is needed for a sustainable research effort.
越来越多的证据支持这样一种观点,即健康的社会决定因素,如教育程度、就业和社区环境,直接影响健康状况。研究人员也开始探索社会因素对皮肤病的影响,不过据作者所知,尚无正式的研究领域为这种实践提供结构化框架。在本文中,引入了“社会皮肤病学”这一全新的全球研究领域,以构建皮肤病学的学术知识体系。目的是概述这种范式转变如何能够改变临床实践和科学研究。该领域将探索社会医学医学领域内研究的主题,并将其调整和应用于皮肤病学背景。具体而言,本文将探讨皮肤病学中健康的社会决定因素,并详细阐述将人类功能作为一种更全面理解皮肤病患者健康状况的方法。这种方法能够整合康复方面的内容,国际功能分类(ICF)指导研究和临床实践,以促进更公平和以患者为中心的护理。为了应对方法和交流方面的机遇,建议开发一个基于网络的理论性社会孵化器。对于这一新领域的价值观、利益和挑战需要达成正式协议,以开展可持续的研究工作。