Dermatology referrals in the hospital setting.
| Autor: | Walia NS; Dermatology & STD, Military Hospital, Secunderabad, India. slg_nitin@sancharnet.in, Deb S |
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| Jazyk: | angličtina |
| Zdroj: | Indian journal of dermatology, venereology and leprology [Indian J Dermatol Venereol Leprol] 2004 Sep-Oct; Vol. 70 (5), pp. 285-7. |
| Abstrakt: | Background and Aims: Dermatology consultation occurs mainly in the outpatient setting. The reasons for inpatient dermatologic consultation by other specialties in a hospital, its frequency and its impact on health care are largely unrecorded. Methods: We retrospectively studied the records of 971 hospitalized patients or patients being evaluated in emergency services for which a dermatologist's consultation was requested over a 5-year period in a medium sized military hospital. The demographic details, specialties requiring consultation, provisional diagnosis and dermatological investigations done were tabulated. Results: Dermatologic consultation changed the dermatologic diagnosis and treatment in more than 2/3rd of the patients. Generally, the dermatologic diagnoses most frequently missed by the referring service were common conditions with established treatment. Conclusion: The overall impact of dermatologic consultation on health delivery to patients was substantial. Important recommendations to any health care system are offered. |
| Databáze: | MEDLINE |
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