6 Specialist management: needs and benefits
Identifieur interne : 002A13 ( Main/Merge ); précédent : 002A12; suivant : 002A146 Specialist management: needs and benefits
Auteurs : Gerold Stucki [Suisse]Source :
- 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
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>outcomes</term>
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<term>Adverse effects</term>
<term>Appropriate disease</term>
<term>Appropriate role</term>
<term>Appropriate treatment</term>
<term>Arthritis</term>
<term>British journal</term>
<term>Chronic disease</term>
<term>Clinical status</term>
<term>Concepts result</term>
<term>Disease activity</term>
<term>Disease course</term>
<term>Dmard</term>
<term>Dmard therapy</term>
<term>Dmard treatment</term>
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<term>Health care</term>
<term>Health outcomes</term>
<term>Heijde dmfm</term>
<term>Important role</term>
<term>Internal medicine</term>
<term>Joint damage</term>
<term>Joint destruction</term>
<term>Medical care</term>
<term>Multidisciplinary</term>
<term>Multidisciplinary care</term>
<term>Optimal adjustment</term>
<term>Patient experience</term>
<term>Patient outcomes</term>
<term>Physical medicine</term>
<term>Physician specialty</term>
<term>Practice points</term>
<term>Primary care</term>
<term>Primary care centres</term>
<term>Primary care physicians</term>
<term>Primary physician care</term>
<term>Provider</term>
<term>Rheumatic</term>
<term>Rheumatic diseases</term>
<term>Rheumatism</term>
<term>Rheumatoid</term>
<term>Rheumatoid arthritis</term>
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<term>Rheumatologist care</term>
<term>Rheumatologists multidisciplinary care</term>
<term>Rheumatology</term>
<term>Riel plcm</term>
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<term>Standardized measures</term>
<term>Stucki</term>
<term>Studies show</term>
<term>Superior patient outcomes</term>
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<front><div type="abstract" xml: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.</div>
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