綜述目的

銀屑病關節炎的診斷和治療極具挑戰性，急需跨學科方法迎接挑戰。此研究對皮膚-風濕綜合診療進行了概述。

近期發現

皮膚-風濕聯合診療的出現優化了銀屑病和銀屑病關節炎患者的綜合護理。美國此類診所已超過20家。這些診所加強銀屑病和銀屑病關節炎患者多學科護理，提升治療效果，增強患者和醫生的滿意度，豐富行業知識。這些診所也給醫護人員提出了挑戰，包括：如何為皮膚科醫生和風濕科醫生合理排班，如何證明診所開設的必要性從而獲得相關機構的支持。

概 要

皮膚-風濕結合診療是銀屑病和銀屑病關節炎患者的新型護理模式。這種診所可以改善結果，提升患者和醫生的滿意度和效率。隨著更多結合診所的建立，我們必須進一步了解它們對結果和護理過程的影響。

原 文

Early Recognition and Treatment HeraldsOptimal Outcomes: the Benefits of Combined Rheumatology–Dermatology Clinics andIntegrative Care of Psoriasis and Psoriatic Arthritis Patients

Purpose of Review

Diagnosis and treatment of psoriatic arthritis (PsA) can be challenging and require a multidisciplinary approach. This review provides an overview of combined dermatology–rheumatology clinics.

Recent Findings

Combined dermatology–rheumatology clinics have emerged to optimize integrated care for patients with psoriasis and PsA. There are over 20 such clinics across the USA. These clinics facilitate multidisciplinary care for patients with psoriasis and PsA and have been found to improve outcomes and enhance both patient and physician satisfaction and knowledge. Challenges presented by these clinics include appropriate scheduling for both dermatologists and rheumatologists and proving the benefits of the clinics to obtain institutional support.

Summary

Combined dermatology–rheumatology clinics are a novel model of care for patients with psoriasis and PsA. They improve outcomes, patient and physician satisfaction, and efficiency. As more of these clinics are established, we must further understand their impact on outcomes and care processes.

文章出處：

Soleymani, et al. Current Rheumatology Reports. 20 Nov 2017,20(1):1