6 Specialist management: needs and benefits
Identifieur interne : 001C77 ( Istex/Corpus ); précédent : 001C76; suivant : 001C786 Specialist management: needs and benefits
Auteurs : Gerold StuckiSource :
- BACR ; 1997.
English descriptors
- KwdEn :
- Teeft :
- Acute rheumatology service, Adverse effects, Appropriate disease, Appropriate role, Appropriate treatment, Arthritis, British journal, Chronic disease, Clinical status, Concepts result, Disease activity, Disease course, Dmard, Dmard therapy, Dmard treatment, General practitioners, Generalist, Health care, Health outcomes, Heijde dmfm, Important role, Internal medicine, Joint damage, Joint destruction, Medical care, Multidisciplinary, Multidisciplinary care, Optimal adjustment, Patient experience, Patient outcomes, Physical medicine, Physician specialty, Practice points, Primary care, Primary care centres, Primary care physicians, Primary physician care, Provider, Rheumatic, Rheumatic diseases, Rheumatism, Rheumatoid, Rheumatoid arthritis, Rheumatologist, Rheumatologist care, Rheumatologists multidisciplinary care, Rheumatology, Riel plcm, Specialist care, Specialist management, Speciality, Speciality care, Standardized measures, Stucki, Studies show, Superior patient outcomes, Timely referral.
Abstract
In increasingly cost-conscious, accountable and integrated health-care systems, the appropriate role of speciality care is under scrutiny. The data on the impact of rheumatologist care on outcomes in patients with rheumatoid arthritis (RA) is limited and inconclusive. However, based on a review of processes of care known to be related to superior patient outcomes it is suggested that rheumatologists should be the lead physicians in patients with RA. Rheumatologists but usually not generalists have the experience necessary to make an early diagnosis and to initiate appropriate disease modifying anti-rheumatic drug (DMARD) treatment. Rheumatologists have an in-depth understanding of new assessment methods to optimize medical treatment and to make best use of and co-ordinate multi-disciplinary care. To avoid delay of diagnosis and initiation of treatment, patients with polyarthritis should be referred to rheumatologists as soon as possible. This requires that access to rheumatologist care is guaranteed.
Url:
DOI: 10.1016/S0950-3579(97)80035-0
Links to Exploration step
ISTEX:4815048E77C543E0EDCD484256735BF2D1F2CA5ELe document en format XML
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The data on the impact of rheumatologist care on outcomes in patients with rheumatoid arthritis (RA) is limited and inconclusive. However, based on a review of processes of care known to be related to superior patient outcomes it is suggested that rheumatologists should be the lead physicians in patients with RA. Rheumatologists but usually not generalists have the experience necessary to make an early diagnosis and to initiate appropriate disease modifying anti-rheumatic drug (DMARD) treatment. Rheumatologists have an in-depth understanding of new assessment methods to optimize medical treatment and to make best use of and co-ordinate multi-disciplinary care. To avoid delay of diagnosis and initiation of treatment, patients with polyarthritis should be referred to rheumatologists as soon as possible. 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1985</json:string><json:string>Chan et al, 1994</json:string><json:string>Holman, 1994</json:string><json:string>Arnett et al, 1988</json:string><json:string>Stucki et al, 1995</json:string><json:string>Gerteis et al (1993)</json:string><json:string>Symmons et al, 1996</json:string><json:string>Smith et al (1996)</json:string><json:string>Dietrich and Goldberg, 1984</json:string><json:string>Kwoh et al, 1996</json:string><json:string>van der Heijde et al, 1992b</json:string><json:string>Van der Heijde et al, 1996</json:string><json:string>Esdaile et al, 1995</json:string><json:string>Brook and Corbett, 1977</json:string><json:string>Chan et al</json:string><json:string>Strauss et al, 1986</json:string><json:string>Lindroth et al, 1995</json:string><json:string>Stucki and Sangha, 1996</json:string><json:string>Fuchs et al, 1989</json:string><json:string>Stucki and Baker, 1991</json:string><json:string>Jackson and Williams, 1993</json:string><json:string>Van der Heijde et al, 1992a</json:string><json:string>Ward et al, 1993</json:string><json:string>van Gestel et al, 1996</json:string><json:string>M6tt6nen et al, 1996</json:string><json:string>Allaire et al, 1994</json:string><json:string>Bjelle and Magi (1981)</json:string><json:string>Smith et al, 1996</json:string><json:string>Gabriel, 1996</json:string><json:string>Panush et al, 1995</json:string><json:string>Fries et al, 1980</json:string><json:string>M6ttonen, 1988</json:string><json:string>Semble et al, 1990</json:string><json:string>Lorig et al, 1993</json:string><json:string>Stewart, 1995</json:string><json:string>Edworthy et al, 1995</json:string><json:string>Garg et al, 1979</json:string><json:string>Aiken et al, 1979</json:string><json:string>Glazier et al, 1995</json:string><json:string>Franks and Eisinger, 1987</json:string><json:string>Gerteis et al, 1993</json:string><json:string>Van der Heide et al, 1989</json:string><json:string>Crump et al, 1995</json:string><json:string>Quill and Cassel, 1995</json:string><json:string>Kaplan et al, 1989</json:string><json:string>Pellegrino, 1995</json:string><json:string>Hanly et al, 1984</json:string><json:string>Tucker et al, 1994</json:string><json:string>Plant et al, 1994</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/6H6-D2PH8D6R-B</json:string></ark><categories><wos></wos><scienceMetrix></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Rheumatology</json:string></scopus><inist><json:string>1 - sciences appliquees, technologies et medecines</json:string><json:string>2 - sciences biologiques et medicales</json:string><json:string>3 - sciences medicales</json:string><json:string>4 - pathologie osteoarticulaire</json:string></inist></categories><publicationDate>1997</publicationDate><author><json:item><name>Gerold Stucki MD, MS</name><affiliations><json:string>Department of Rheumatology and Institute of Physical 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The data on the impact of rheumatologist care on outcomes in patients with rheumatoid arthritis (RA) is limited and inconclusive. However, based on a review of processes of care known to be related to superior patient outcomes it is suggested that rheumatologists should be the lead physicians in patients with RA. Rheumatologists but usually not generalists have the experience necessary to make an early diagnosis and to initiate appropriate disease modifying anti-rheumatic drug (DMARD) treatment. Rheumatologists have an in-depth understanding of new assessment methods to optimize medical treatment and to make best use of and co-ordinate multi-disciplinary care. To avoid delay of diagnosis and initiation of treatment, patients with polyarthritis should be referred to rheumatologists as soon as possible. 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The data on the impact of rheumatologist care on outcomes in patients with rheumatoid arthritis (RA) is limited and inconclusive. However, based on a review of processes of care known to be related to superior patient outcomes it is suggested that rheumatologists should be the lead physicians in patients with RA. Rheumatologists but usually not generalists have the experience necessary to make an early diagnosis and to initiate appropriate disease modifying anti-rheumatic drug (DMARD) treatment. Rheumatologists have an in-depth understanding of new assessment methods to optimize medical treatment and to make best use of and co-ordinate multi-disciplinary care. To avoid delay of diagnosis and initiation of treatment, patients with polyarthritis should be referred to rheumatologists as soon as possible. This requires that access to rheumatologist care is guaranteed.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Key words</head><item><term>rheumatoid arthritis</term></item><item><term>quality management</term></item><item><term>outcomes</term></item><item><term>specialist</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1997">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/6H6-D2PH8D6R-B/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier doc found" wicri:toSee="Elsevier, no converted or simple article"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 5.0.1//EN//XML" URI="art501.dtd" name="istex:docType"></istex:docType><istex:document><article version="5.0" xml:lang="en" docsubtype="fla"><item-info><jid>BACR</jid><aid>97800350</aid><ce:pii>S0950-3579(97)80035-0</ce:pii><ce:doi>10.1016/S0950-3579(97)80035-0</ce:doi><ce:copyright type="unknown" year="1997">Elsevier Ltd.</ce:copyright></item-info><head><ce:title>6 Specialist management: needs and benefits</ce:title><ce:author-group><ce:author><ce:degrees>MD, MS</ce:degrees><ce:given-name>Gerold</ce:given-name><ce:surname>Stucki</ce:surname><ce:roles>Assistant Professor of Rheumatology, Physical Medicine and Rehabilitation</ce:roles></ce:author><ce:affiliation id="aff1"><ce:textfn>Department of Rheumatology and Institute of Physical Medicine, University Hospital, Gloriastrasse 25, CH-8091 Zürich, Switzerland</ce:textfn></ce:affiliation></ce:author-group><ce:abstract id="ab1" class="author" xml:lang="en"><ce:abstract-sec><ce:simple-para>In increasingly cost-conscious, accountable and integrated health-care systems, the appropriate role of speciality care is under scrutiny. The data on the impact of rheumatologist care on outcomes in patients with rheumatoid arthritis (RA) is limited and inconclusive. However, based on a review of processes of care known to be related to superior patient outcomes it is suggested that rheumatologists should be the lead physicians in patients with RA. Rheumatologists but usually not generalists have the experience necessary to make an early diagnosis and to initiate appropriate disease modifying anti-rheumatic drug (DMARD) treatment. Rheumatologists have an in-depth understanding of new assessment methods to optimize medical treatment and to make best use of and co-ordinate multi-disciplinary care. To avoid delay of diagnosis and initiation of treatment, patients with polyarthritis should be referred to rheumatologists as soon as possible. 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Medicine</sb:maintitle></sb:title><sb:volume-nr>153</sb:volume-nr></sb:series><sb:date>1993</sb:date></sb:issue><sb:pages><sb:first-page>2229</sb:first-page><sb:last-page>2237</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference></ce:bibliography-sec></ce:bibliography></tail></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>6 Specialist management: needs and benefits</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>6 Specialist management: needs and benefits</title></titleInfo><name type="personal"><namePart type="given">Gerold</namePart><namePart type="family">Stucki</namePart><namePart type="termsOfAddress">MD, MS</namePart><affiliation>Department of Rheumatology and Institute of Physical Medicine, University Hospital, Gloriastrasse 25, CH-8091 Zürich, Switzerland</affiliation><description>Assistant Professor of Rheumatology, Physical Medicine and Rehabilitation</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1997</dateIssued><copyrightDate encoding="w3cdtf">1997</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract lang="en">In increasingly cost-conscious, accountable and integrated health-care systems, the appropriate role of speciality care is under scrutiny. The data on the impact of rheumatologist care on outcomes in patients with rheumatoid arthritis (RA) is limited and inconclusive. However, based on a review of processes of care known to be related to superior patient outcomes it is suggested that rheumatologists should be the lead physicians in patients with RA. Rheumatologists but usually not generalists have the experience necessary to make an early diagnosis and to initiate appropriate disease modifying anti-rheumatic drug (DMARD) treatment. Rheumatologists have an in-depth understanding of new assessment methods to optimize medical treatment and to make best use of and co-ordinate multi-disciplinary care. To avoid delay of diagnosis and initiation of treatment, patients with polyarthritis should be referred to rheumatologists as soon as possible. This requires that access to rheumatologist care is guaranteed.</abstract><subject lang="en"><genre>Key words</genre><topic>rheumatoid arthritis</topic><topic>quality management</topic><topic>outcomes</topic><topic>specialist</topic></subject><relatedItem type="host"><titleInfo><title>Bailliere's Clinical Rheumatology</title></titleInfo><titleInfo type="abbreviated"><title>BACR</title></titleInfo><genre type="book-series" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0G6R5W5T-Z">book-series</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1997</dateIssued></originInfo><identifier type="ISBN">978-0-7020-2265-4</identifier><identifier type="PII">S0950-3579(97)X8027-6</identifier><part><date>1997</date><detail type="issue"><title>Early Rheumatoid Arthritis</title></detail><detail type="volume"><number>11</number><caption>vol.</caption></detail><detail type="issue"><number>1</number><caption>no.</caption></detail><extent unit="issue-pages"><start>1</start><end>190</end></extent><extent unit="pages"><start>97</start><end>107</end></extent></part></relatedItem><relatedItem type="series"><originInfo><dateIssued encoding="w3cdtf">1997</dateIssued></originInfo><identifier type="ISSN">0950-3579</identifier></relatedItem><identifier type="istex">4815048E77C543E0EDCD484256735BF2D1F2CA5E</identifier><identifier type="ark">ark:/67375/6H6-D2PH8D6R-B</identifier><identifier type="DOI">10.1016/S0950-3579(97)80035-0</identifier><identifier type="PII">S0950-3579(97)80035-0</identifier><identifier type="ArticleID">97800350</identifier><accessCondition type="use and reproduction" contentType="copyright">©1997 Elsevier Ltd.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-HKKZVM7B-M">elsevier</recordContentSource><recordOrigin>Elsevier Ltd., ©1997</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/6H6-D2PH8D6R-B/record.json</uri></json:item></metadata></istex></record>Pour manipuler ce document sous Unix (Dilib)
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