Costs, outcomes, and patient satisfaction by provider type for patients with rheumatic and musculoskeletal conditions : A critical review of the literature and proposed methodologic standards.
To compare the outcomes of care provided by generalists with that provided by specialists for patients with musculoskeletal and rheumatic conditions.
English-language studies published between 1966 and April 1996 were identified through a MEDLINE search.
Studies that compared generalists'and specialists'treatment preferences, appropriateness of care, or outcomes with regard to musculoskeletal and rheumatic conditions were examined.
Studies were reviewed for methodologic rigor and outcomes.
Low back pain is treated by many types of providers, without consistent differences in outcomes across provider types.
In one study, however, patients were more satisfied with chiropractic care than with care provided by primary care physicians, although the former cost twice as much as the latter.
For osteoarthritis of the hip, rheumatologists and primary care providers reported using different therapeutic regimens.
For acute mono-and oligoarthritis, rheumatologists performed arthrocentesis more appropriately than nonrheumatologists and produced shorter durations of hospitalization.
In the management of gout, rheumatologists used colchicine during the introduction of urate-lowering therapy more appropriately than other providers. (...)
Mots-clés Pascal : Rhumatisme, Muscle strié, Etude comparative, Coût, Qualité service, Traitement, Médecin généraliste, Spécialiste information, Revue bibliographique, Méthodologie, Evaluation, Homme, Système ostéoarticulaire pathologie, Muscle strié pathologie, Politique sanitaire
Mots-clés Pascal anglais : Rheumatism, Striated muscle, Comparative study, Costs, Service quality, Treatment, General practitioner, Information scientist, Bibliographic review, Methodology, Evaluation, Human, Diseases of the osteoarticular system, Striated muscle disease, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0370111
Code Inist : 002B15I. Création : 12/09/1997.