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  1. Team managed outpatient care for early onset chronic inflammatory arthritis.

    Article - En anglais

    Objective

    To determine whether an outpatient team management program for persons with early chronic inflammatory arthritis would produce improved clinical outcomes and lower costs than traditional, nonteam outpatient rheumatologic care in a clinic setting.

    Methods

    One hundred eighteen patients with chronic inflammatory arthritis were randomly assigned to a team managed outpatient care program (TEAMCARE) or to traditional, one on one, nonteam managed rheumatologic care (TRADCARE).

    The TEAMCARE program consisted of a half day educational program, a needs assessment intake interview, and quarterly telephone calls, monthly team meetings, and routine rheumatologic care.

    TRADCARE patients received unconstrained, routine primary and specialty outpatient care as practised typically by rheumatologists at this large multispecialty clinic.

    All patients had numerous physical and laboratory outcome assessments by rheumatologists at office visits.

    Every 6 months, patients completed several self-report measures of functional status, pain, psychosocial status, and costs.

    Results

    One hundred seven patients completed one year of study participation.

    Conclusion

    This team managed outpatient program for persons with recent onset chronic inflammatory arthritis afforded no advantage to routine outpatient care, characterized mainly by one on one relationships between patients and primary care doctors and rheumatologists, in our active outpatient clinical environment.

    Mots-clés Pascal : Rhumatisme inflammatoire, Homme, Précoce, Equipe soignante, Evaluation, Ambulatoire, Soin, Traitement, Système ostéoarticulaire pathologie

    Mots-clés Pascal anglais : Inflammatory joint disease, Human, Early, Hospital staff, Evaluation, Ambulatory, Care, Treatment, Diseases of the osteoarticular system

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0414581

    Code Inist : 002B15D. Création : 01/03/1996.