Secondary prevention of occupational dermatoses: first systematic evaluation of optimized dermatologist's procedure and hierarchical multi-step intervention.

Background: In 2011, 25,056 notifications of suspected occupational dermatitis (OD) were submitted to the statutory accident insurance (UVT), predominant by dermatologist's reports. Parallel to the introduction of the improved dermatologist's procedure, the hierarchical multi-step intervention approach to OD was launched within the UVT. It is aimed at ensuring that patients with OD can be allocated to preventive dermatological interventions quickly and appropriately according to the severity of their OD.

10 years quality assurance of the dermatologist's procedure. ABD review board part II: 2003-2009.

Background: The dermatologist's procedure ("procedure for early detection of occupational skin diseases") enables dermatologists to conduct the relevant diagnostics at the expenses of the statutory employers' liability insurance funds (UVT) if there is a possibility of a work-related skin disorder in an employee. Acceptance of this most relevant tool for secondary prevention in occupational dermatology in Germany is high and most dermatologists make careful use of this unparalleled privilege. However, there have been occasional complaints by the UVT, concerning overly extensive diagnostics.