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Satisfaction with medical treatment in patients with hand dermatitis – a cross-sectional study

Authors

  • Solveig Herschel,

    Corresponding author
    • Clinic and Polyclinic for Dermatology, Carl Gustav Carus Medical School, Technical University, Dresden, Germany
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  • Jochen Schmitt,

    1. Center for Evidence-based Healthcare, Carl Gustav Carus University Hospital, Dresden, Germany
    2. Institute and Polyclinic for Occupational and Social Medicine, Carl Gustav Carus Medical School, Technical University, Dresden, Germany
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  • Andrea Bauer

    1. Clinic and Polyclinic for Dermatology, Carl Gustav Carus Medical School, Technical University, Dresden, Germany
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  • Conflict of interest Jochen Schmitt received research funding from Novartis and Abbott and was also a paid advisor for Novartis and Basilea.

Correspondence to

Dr. med. Solveig Herschel

Klinik und Poliklinik für Dermatologie

Medizinische Fakultät Carl Gustav Carus

Technische Universität Dresden

Fetscherstrafle 74

01307 Dresden, Germany

E-mail: solveig.herschel@uniklinikum-dresden.de

Summary

Background

Despite the significant clinical and economic burden of hand dermatitis, data on patientsí satisfaction with treatment and related determining factors are lacking.

Patients and Methods

We performed a cross-sectional study using a standardized survey, including all patients with hand dermatitis treated between 12/2001 and 11/2008 at the Department of Dermatology, TU Dresden. Patients were asked about socio-demographic data, disease characteristics, occupational data, quality of life, treatment satisfaction and their treatment goals. Based on an a priori model, possible impact factors on treatment satisfaction were analyzed using regression modeling.

Results

Of 382 contacted patients, 215 agreed to participate in the study (133 [61.3%] female). The mean age was 42 years. 155 patients (72.1%) had had severe or very severe hand dermatitis in the past. The majority of the patients were satisfied with the medical treatment. Treatment satisfaction was determined by the impression of professional competence (p < 0.001), physiciansí empathy (p < 0.001), sufficient information on course, prognosis, and treatment options (p < 0.001), the patientsí self-treatment competency (p < 0.001), quality of life (p = 0.007), as well as on the severity of hand dermatitis (p < 0.001).

Conclusions

The data point out that in the therapy of chronic hand dermatitis, along with professional competence, the physiciansí empathy, provision of sufficient information about the disease, and teaching self-treatment competency play a prominent role in improving the treatment satisfaction of the patients.

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