Cooperation between the occupational health insurance and physicians practicing occupational dermatology: optimization potential in quality assurance

J Dtsch Dermatol Ges. 2014 May;12(5):408-14. doi: 10.1111/ddg.12348.

Abstract

Background: Quality assurance is a task of the medical profession, but it is also a duty of the occupational health insurance (OHI). Data on the interaction quality between physicians practicing occupational dermatology and the OHI are limited.

Material and methods: An online survey was performed in 854 German members of the Working Group on Occupational and Environmental Dermatology in October 2013. Items included demographic data, a judgment on the cooperation between the dermatologists and OHI companies, an economic grading of the current compensation scheme, and prioritization of optimization tasks.

Results: 182 members (21.3 % of the invited population) participated in the survey. The cooperation with the OHI companies was judged as "very good" by 10.8 %, as "good" by 56.7 %, as "satisfactory" by 24.2 %, as "sufficient" by 7.0 % and as "inadequate" by 1.3 %. 93.4 % of the interviewed mentioned problems and improvement potentials in the cooperation of their practice or clinic with OHI companies. Main points of criticisms were reimbursement (44.7 %), followed by impairments of the treatment options (36.5 %) and the delay or scope of the treatment in the dermatologist's procedure (29.4 %).

Conclusions: While most physicians practicing occupational dermatology give a positive judgment of their cooperation with OHI companies, quality optimization potentials exist regarding the reimbursement of dermatological services, especially regarding time-intensive counselling in the prevention of occupational skin diseases, in the enablement of diagnostic and therapeutic procedures according to current guidelines and in a timely preventive intervention to use the therapeutic window before chronification of skin diseases may occur.

MeSH terms

  • Attitude of Health Personnel
  • Cooperative Behavior*
  • Cost-Benefit Analysis
  • Data Collection
  • Dermatitis, Occupational / economics
  • Dermatitis, Occupational / therapy*
  • Dermatology* / economics
  • Female
  • Germany
  • Hand Dermatoses / economics
  • Hand Dermatoses / therapy*
  • Health Benefit Plans, Employee* / economics
  • Health Services Research
  • Humans
  • Interdisciplinary Communication*
  • Male
  • Middle Aged
  • National Health Programs* / economics
  • Occupational Medicine* / economics
  • Quality Assurance, Health Care* / economics
  • Specialization
  • Workers' Compensation / economics