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Year : 2004  |  Volume : 70  |  Issue : 5  |  Page : 285--287

Dermatology referrals in the hospital setting

1 Dermatology & STD, Military Hospital, Secunderabad, India
2 Dept. of Pathology, 158 Base Hospital, Secunderabad, India

Correspondence Address:
N S Walia
(Dermatology & STD), Dept of Dermatology & STD, Military Hospital, Trimulgherry, Secunderabad - 500015
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Source of Support: None, Conflict of Interest: None

PMID: 17642639

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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.


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Online since 15th March '04
Published by Wolters Kluwer - Medknow