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Quality in rheumatoid arthritis care
Sehrash Mahmood1, Nienke Lesuis2, Lilian H D van Tuyl3
1Amsterdam Rheumatology and Immunology Center, VU University Medical Center, Department of Rheumatology, Room ZH 3A-58, De boelelaan 1117, 1081, HV, Amsterdam, The Netherlands.
Best Practice & Research. Clinical Rheumatology
|December 25, 2015
Summary
Improving rheumatology practice for rheumatoid arthritis (RA) patients requires addressing barriers to implementing tight control strategies. This review offers a step-by-step plan to enhance RA care quality and patient outcomes.
Area of Science:
- Rheumatology
- Health Services Research
- Quality Improvement
Background:
- Rheumatology practices strive for quality care to improve patient quality of life.
- Barriers and facilitators impact the implementation of effective practice management.
- This review focuses on quality improvement for rheumatoid arthritis (RA) patient care.
Purpose of the Study:
- To assist practicing rheumatologists in improving daily care for RA patients.
- To define quality of care and its measurement through structure, process, and outcomes.
- To review current RA treatment strategies, emphasizing tight control.
Main Methods:
- Overview of current RA treatment strategies, focusing on tight control.
- Analysis of barriers and facilitators to adherence to treatment guidelines.
- Review of interventions aimed at improving RA care quality.
Main Results:
- Tight control strategies improve RA disease control, functional status, and work productivity.
- Adherence to tight control in daily practice is often challenging.
- Interventions targeting barriers and facilitators can yield small to moderate effects on care.
Conclusions:
- Improving RA patient care is achievable through targeted interventions.
- A step-by-step plan is provided to guide rheumatologists in enhancing RA care.
- Addressing adherence challenges is crucial for optimizing outcomes in rheumatoid arthritis management.
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