The German National Program on Psoriasis Health Care 2005-2015: results and experiences

Area of Science:

• Dermatology
• Public Health
• Health Services Research

Background:

• A 2005 survey revealed significant healthcare deficits for psoriasis patients in Germany, especially those with moderate to severe disease.
• This highlighted the need for a nationwide initiative to enhance psoriasis care.
• Patient burden, economic impact, and barriers to care were identified as key areas for improvement.

Purpose of the Study:

• To improve countrywide healthcare for psoriasis patients.
• To systematically analyze structures and processes of psoriasis care.
• To optimize routine care through evidence-based guidelines and measurable outcomes.

Main Methods:

• Initiation of a large-scale national program for psoriasis care.
• Development of an S3 guideline, outcome measures, and treatment goals.
• Implementation through the German Psoriasis Networks (PsoNet) and annual conferences.
• Monitoring of quality indicators by 28 regional networks involving over 800 dermatologists.

Main Results:

• Between 2005 and 2014, 7 out of 8 quality indicators showed marked improvement.
• Regional disparities in care were resolved.
• Mean Psoriasis Area Severity Index (PASI) decreased from 11.4 to 8.1.
• Mean Dermatology Life Quality Index (DLQI) decreased from 8.6 to 5.9.

Conclusions:

• A coordinated, goal-oriented nationwide psoriasis program can significantly enhance the quality of care.
• Optimized outcomes, including reduced disease severity and improved quality of life, were achieved.
• The German Psoriasis Networks model demonstrates the effectiveness of collaborative, structured healthcare initiatives.