Regional healthcare delivery and demographic change in Germany – scenarios for dermatological care in 2035

Kis, Anne; Augustin, Matthias; Augustin, Jobst

doi:10.1111/ddg.13379

Cited by 17 publications

(15 citation statements)

References 11 publications

(11 reference statements)

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“…Currently, patients have to wait up to 6 weeks for an appointment at a dermatologist to undergo SCS [24]. In some structurally weak regions in Germany there is a lack of resident dermatologists [25]. Therefore, future research should examine whether the current capacities of dermatologists are sufficient to regularly offer SCS to all of those who are entitled to this service.…”

Section: Discussionmentioning

confidence: 99%

Barriers to Using a Nationwide Skin Cancer Screening Program: Findings from Germany

Görig¹,

Schneider²,

Schilling³

et al. 2018

Oncol Res Treat

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Background: In 2008, a nationwide standardized and systematic skin cancer screening (SCS) service, which is globally unique, was implemented in Germany. We aimed to provide current data on SCS use, to explore barriers to SCS usage, and to identify population groups with lower rates of SCS use. Methods: We analyzed data from 2,635 participants (18-45 years) in the National Cancer Aid Monitoring on Sunbed Use. Data on SCS use, barriers to SCS, and sociodemographic characteristics were obtained. Chi-square tests and logistic regression analyses were performed to analyze the data. Data was weighted by age, sex, educational level, and federal state. Results: In total, 39.0% of participants reported having been screened for skin cancer at least once in their lifetime. The subjective importance of different barriers varied depending on the participants' educational level. SCS use was negatively associated with male sex (odds ratio (OR) = 0.63, p < 0.001), low level of education (OR = 0.83, not significant), immigrant background (OR = 0.63; p < 0.001), and having no employment. Conclusion: Although the SCS is part of the regular healthcare services offered in Germany, our data showed lower usage among certain population groups. Barriers relevant for these groups should be considered when developing measures to increase SCS use.

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Section: Discussionmentioning

confidence: 99%

Barriers to Using a Nationwide Skin Cancer Screening Program: Findings from Germany

Görig¹,

Schneider²,

Schilling³

et al. 2018

Oncol Res Treat

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“…Factors that limit the use of teledermatology methods include technological considerations such as the availability of broadband, cost aspects, the requirements of data protection and the ban on remote treatment applicable in Germany pursuant to the Professional Code of Conduct for physicians. Another important aspect is the lack of competent experts, given that even the use of teledermatology methods is unlikely to be able to compensate for the decrease in dermatological services available .…”

Section: Outlook and Need For Researchmentioning

confidence: 99%

Position paper: Telemedicine in occupational dermatology – current status and perspectives

Elsner

Bauer

Diepgen

et al. 2018

J Deutsche Derma Gesell

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Teledermatology is the use of telecommunication technologies to exchange medical information for diagnosis, consultation, treatment and teaching in dermatology. While its use has been evaluated in a wide range of dermatological diagnoses, only few studies exist on its validity, diagnostic precision, feasibility, and cost-effectiveness in occupational dermatology. However, these studies show a considerable potential for diagnosis, prevention, treatment support and follow-up of patients with occupational skin diseases. Asynchronous (store and forward; SAF) or synchronous dermatology teleconsults could assist occupational medicine specialists not only in occupational preventive care, but also in the context of skin cancer screening in outdoor workers. Thus, teledermatology might contribute to earlier prevention and notification of occupational skin diseases. Modern smartphone apps with artificial intelligence technologies may also facilitate self-monitoring in employees working in high-risk jobs.

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“…Limitationen für teledermatologische Verfahren in der Berufsdermatologie sind neben den technologischen Überlegungen wie dem Ausbau des Breitbandnetzes, Kostenaspekten, den Anforderungen des Datenschutzes und dem in Deutschland aufgrund der aktuellen Musterberufsordnung für Ärzte weiterhin gültigen Fernbehandlungsverbot insbesondere die Beschränkungen der Expertenressourcen, da auch bei der Nutzung teledermatologischer Verfahren das rückläufige dermatologische Versorgungsangebot voraussichtlich nicht kompensiert werden kann .…”

Section: Ausblick Und Forschungsbedarfunclassified

Positionspapier: Telemedizin in der Berufsdermatologie – Aktueller Stand und Perspektiven

Elsner

Bauer

Diepgen

et al. 2018

J Deutsche Derma Gesell

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Zusammenfassung Die Teledermatologie ist die Verwendung von Telekommunikationstechnologien zum Austausch medizinischer Informationen für Diagnostik, Konsultation, Therapie und Lehre in der Dermatologie. Während ihr Einsatz bei einem breiten Spektrum dermatologischer Diagnosen evaluiert wurde, liegen nur wenige Studien zu Validität, diagnostischer Präzision, Machbarkeit und Kosteneffektivität in der Berufsdermatologie vor; diese zeigen aber ein erhebliches Potenzial sowohl für Diagnostik, Prävention, Therapiebegleitung und Nachsorge von Berufskrankheiten der Haut. Ein dermatologisches asynchrones (Store and Forward; SAF) oder synchrones Telekonsil könnte Arbeitsmediziner und Betriebsärzte bei der gesetzlichen arbeitsmedizinischen Vorsorge in hautbelastenden Berufen, aber auch beim Hautkrebsscreening von Outdoorworkern unterstützen und so zu rascherer Prävention oder gezielter Berufskrankheitenmeldung beitragen. Mittels moderner von Technologien der künstlichen Intelligenz unterstützter mobiler Smartphone‐Apps kann auch das Selbstmonitoring von Beschäftigten in Risikoberufen verbessert werden.

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Regional healthcare delivery and demographic change in Germany – scenarios for dermatological care in 2035

Cited by 17 publications

References 11 publications

Barriers to Using a Nationwide Skin Cancer Screening Program: Findings from Germany

Barriers to Using a Nationwide Skin Cancer Screening Program: Findings from Germany

Position paper: Telemedicine in occupational dermatology – current status and perspectives

Positionspapier: Telemedizin in der Berufsdermatologie – Aktueller Stand und Perspektiven

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