Inpatient care for skin diseases in Germany: multi-source analysis on the current and future health care needs
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Inpatient care for skin diseases in Germany: multi-source analysis on the current and future health care needs. / Augustin, Matthias; Girbig, Gefion; Kis, Anne; Bechara, Falk G; Hertl, Michael; Hischke, Sandra; Kaufmann, Roland; Löffler, Harald; Müller, Cornelia S L; Simon, Jan-Christoph; Strömer, Klaus; Welzel, Julia; Wetzig, Tino; Elsner, Peter; Augustin, Jobst; Löser, Christoph; Biedermann, Tilo.
In: J DTSCH DERMATOL GES, Vol. 19, No. S5, 10.2021, p. 25-53.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Inpatient care for skin diseases in Germany: multi-source analysis on the current and future health care needs
AU - Augustin, Matthias
AU - Girbig, Gefion
AU - Kis, Anne
AU - Bechara, Falk G
AU - Hertl, Michael
AU - Hischke, Sandra
AU - Kaufmann, Roland
AU - Löffler, Harald
AU - Müller, Cornelia S L
AU - Simon, Jan-Christoph
AU - Strömer, Klaus
AU - Welzel, Julia
AU - Wetzig, Tino
AU - Elsner, Peter
AU - Augustin, Jobst
AU - Löser, Christoph
AU - Biedermann, Tilo
N1 - © 2021 The Authors | © Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.
PY - 2021/10
Y1 - 2021/10
N2 - BACKGROUND: In Germany, skin diseases are mainly treated in the 115 dermatological hospitals.METHODS: Health care and health economic analysis of dermatological inpatient care and prediction of future care needs based on primary and secondary data.RESULTS: 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.CONCLUSION: Inpatient dermatological care will continue to be an indispensable component of qualified, socially necessary care in Germany.
AB - BACKGROUND: In Germany, skin diseases are mainly treated in the 115 dermatological hospitals.METHODS: Health care and health economic analysis of dermatological inpatient care and prediction of future care needs based on primary and secondary data.RESULTS: 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.CONCLUSION: Inpatient dermatological care will continue to be an indispensable component of qualified, socially necessary care in Germany.
KW - Delivery of Health Care
KW - Dermatology
KW - Germany/epidemiology
KW - Humans
KW - Inpatients
KW - Prurigo
KW - Skin Diseases/epidemiology
U2 - 10.1111/ddg.14620
DO - 10.1111/ddg.14620
M3 - SCORING: Journal article
C2 - 34662491
VL - 19
SP - 25
EP - 53
JO - J DTSCH DERMATOL GES
JF - J DTSCH DERMATOL GES
SN - 1610-0379
IS - S5
ER -