Psoriasis Clinical Trial
The primary objective of this research protocol is to evaluate the health related quality of life and efficacy of patient-initiated hospital follow-up for patients with moderate to severe psoriasis.
Psoriasis is a chronic inflammatory skin disease affecting 1 to 3% of the European
population. Treatment of moderate to severe psoriasis often requires lifetime routine reviews
by hospital dermatologist. Patterns of hospital review vary, but most patients attend
follow-up every 12-16 week by dermatologist. At routine reviews the patient disease is often
quiet and little intervention or no intervention is required, and times were the patient need
help the time is limited for in-depth consultation. Both patient and healthcare professional
requested more time. In-depth consultation is important in the care of psoriasis, because
moderate to severe psoriasis has a significant impact on quality of life and patient have an
increased incidence of cardiovascular risk factors such as hypertension, overweight,
hyperlipidemia and exposure to tobacco and alcohol. These comorbidities and the psychosocial
burden must be addressed by clinicians to help patients to acquire or to maintain
competencies that are required to live with a chronic disease.
Patient-initiated hospital follow-up for patients with moderate to severe psoriasis might
reduce inappropriate follow-up appointments, improve rapid access to specialist care and
release resource to further in-depth consultation. If the patient is empowered to initiate
hospital review thus patient's individual needs dictate the content, duration and contact
with clinicians. It is our goal that an individual needs-based patient involvement in the
shape of patient-initiated hospital follow-up,will be perceived as a benefit of the patients
who 1) meets a high safety in the patient's own provision of medical treatment, 2) increase
the patient's knowledge of the lifestyle and prevention of comorbidities and 3) strengths
patient's overall satisfaction with treatment.
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