Subject(s)
Biomedical Research/organization & administration , Congresses as Topic/organization & administration , Interdisciplinary Communication , Societies, Scientific/organization & administration , Biomedical Research/history , Congresses as Topic/history , Dermatology/history , Dermatology/organization & administration , Europe , History, 20th Century , History, 21st Century , Societies, Scientific/history , Venereology/history , Venereology/organization & administrationSubject(s)
COVID-19/epidemiology , Dermatology/standards , Immunocompromised Host , Psoriasis/therapy , SARS-CoV-2 , Venereology/standards , Academies and Institutes , Dermatology/organization & administration , Humans , Immunologic Factors/therapeutic use , Psoriasis/immunology , Spain/epidemiology , Telemedicine/organization & administration , Venereology/organization & administrationABSTRACT
The pandemic of COVID-19 is a global challenge for health care, and dermatologists are not standing apart from trying to meet this challenge. The European Academy of Dermatology and Venereology (EADV) has collected recommendations from its Task Forces (TFs) related to COVID-19. The Journal of the EADV has established a COVID-19 Special Forum giving free access to related articles. The psychosocial effects of the pandemic, an increase in contact dermatitis and several other skin diseases because of stress, disinfectants and protective equipment use, especially in healthcare workers, the temporary limited access to dermatologic care, the dilemma whether or not to pause immunosuppressive therapy, and, finally, the occurrence of skin lesions in patients infected by COVID-19 all contribute to significant quality of life (QoL) impairment. Here, we present detailed recommendations of the EADV TF on QoL and patient-oriented outcomes on how to improve QoL in dermatologic patients during the COVID-19 pandemic for several different groups of patients and for the general population.
Subject(s)
Coronavirus Infections/epidemiology , Dermatology/organization & administration , Pneumonia, Viral/epidemiology , Quality of Life , Skin Diseases/etiology , Skin Diseases/therapy , Venereology/organization & administration , Advisory Committees , Betacoronavirus , COVID-19 , Coronavirus Infections/psychology , Europe/epidemiology , Humans , Infection Control/organization & administration , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Pandemics , Periodicals as Topic , Pneumonia, Viral/psychology , SARS-CoV-2 , Skin Diseases/psychology , Societies, MedicalSubject(s)
Dermatology , Manuals as Topic , Practice Guidelines as Topic , Skin Neoplasms , Venereology , Academies and Institutes , Dermatology/organization & administration , Evidence-Based Medicine , Humans , Skin Neoplasms/diagnosis , Skin Neoplasms/epidemiology , Skin Neoplasms/therapy , Societies, Medical , Spain , Venereology/organization & administrationABSTRACT
STUDY DESIGN: This study investigated whether access to genitourinary medicine (GUM) clinics meets UK-recommended standards. METHODS: In January 2014 and 2015, postal questionnaires about appointment and service characteristics were sent to lead clinicians of UK GUM clinics. In February 2014 and 2015, researchers posing as symptomatic and asymptomatic 'patients' contacted clinics by telephone, requesting to be seen. Clinic and patient characteristics associated with the offer of an appointment within 48â hours were examined using unadjusted and UK country and patient gender adjusted multivariable logistic regression analyses. In March 2015, a convenience sample (one in four) of clinics was visited by researchers with the same clinical symptoms. Ability to achieve a same-day consultation and waiting time were assessed. RESULTS: In 2015, 90.8% of clinics offered symptomatic 'patients' an appointment within 48â hours when contacted by telephone, compared with 95.5% in 2014 (aOR=0.46 (0.26 to 0.83); p<0.01). The decline was greatest in women (96.0% to 90.1%; p<0.05), and clinics in England (96.2% to 90.7%; p<0.01). For asymptomatic patients, the proportion offered an appointment within 48â hours increased from 50.7% in 2014 to 74.5% in 2015 (aOR=3.06 (2.23 to 4.22); p<0.001), and in both men (58.2% to 90.8%; p<0.001) and women (49.0% to 59.6%; p<0.01). In adjusted analysis, asymptomatic women were significantly less likely to be offered an appointment than asymptomatic men (aOR=0.33 (0.23 to 0.45); p value<0.001). 95% of clinics were able to see symptomatic patients attending in person. CONCLUSIONS: Access to GUM services has worsened for those with symptoms suggestive of an acute STI and is significantly poorer for asymptomatic women. This evidence may support the reintroduction of process targets.
Subject(s)
Ambulatory Care Facilities/statistics & numerical data , Health Care Surveys , Health Services Accessibility/statistics & numerical data , Healthcare Disparities/statistics & numerical data , Appointments and Schedules , Contraception/statistics & numerical data , Delayed Diagnosis/statistics & numerical data , Female , Humans , Male , Prospective Studies , Referral and Consultation , Sexually Transmitted Diseases/diagnosis , Sexually Transmitted Diseases/epidemiology , Socioeconomic Factors , Telephone , United Kingdom/epidemiology , Venereology/organization & administration , Venereology/standardsABSTRACT
No disponible
Subject(s)
Humans , Academies and Institutes/organization & administration , Academies and Institutes/standards , Dermatology/education , Dermatology , Dermatology/methods , Skin Diseases/epidemiology , Venereology , Venereology/organization & administration , Venereology/trends , Practice Guidelines as Topic/standards , Research/organization & administration , Research/standards , Autoimmune Diseases/epidemiologySubject(s)
Biomedical Research/organization & administration , Dermatology/organization & administration , Health Promotion/organization & administration , Science/organization & administration , Societies, Medical/organization & administration , Venereology/organization & administration , Austria , Education, Medical, Continuing/organization & administration , Organizational ObjectivesABSTRACT
No disponible