综述目的

        银屑病关节炎的诊断和治疗极具挑战性，急需跨学科方法迎接挑战。此研究对皮肤-风湿综合诊疗进行了概述。

        近期发现

        皮肤-风湿联合诊疗的出现优化了银屑病和银屑病关节炎患者的综合护理。美国此类诊所已超过20家。这些诊所加强银屑病和银屑病关节炎患者多学科护理，提升治疗效果，增强患者和医生的满意度，丰富行业知识。这些诊所也给医护人员提出了挑战，包括：如何为皮肤科医生和风湿科医生合理排班，如何证明诊所开设的必要性从而获得相关机构的支持。

        概 要

        皮肤-风湿结合诊疗是银屑病和银屑病关节炎患者的新型护理模式。这种诊所可以改善结果，提升患者和医生的满意度和效率。随着更多结合诊所的建立，我们必须进一步了解它们对结果和护理过程的影响。

        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.

        文章出处：

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