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  1. Longterm Health outcomes of patients with rheumatoid arthritis treated in managed care and fee-for-service practice settings.

    Article - En anglais

    Objective

    To compare health care utilization and longterm health outcomes among patients with rheumatoid arthritis (RA) treated in managed care and fee-for-service practice settings.

    Methods

    We compared levels of health care utilization, treatments, and health outcomes between 57 patients with RA treated predominantly in managed care settings and 125 patients with RA treated predominantly in fee-for-service practice settings.

    These patients were participants in a community based cohort study of health outcomes in RA, and had been followed prospectively for up to 13 years (mean followup 10.3 yrs).

    Information on physician visits, hospitalizations, diagnostic testing, treatments, and 3 measures of health status (global arthritis status, pain, functional disability measures of the Health Assessment Questionnaire) was collected using biannual mailed questionnaires.

    Results

    All measures of health care utilization were similar between the managed care and fee-for-service groups, as was the use of the major types of arthritis treatments.

    Average global arthritis status scores, pain scores. and functional disability scores were closely comparable in the 2 groups.

    Over time, global arthritis status scores and disability scores worsened in both groups, but the rates of worsening did not differ between groups.

    Conclusion

    (...)

    Mots-clés Pascal : Polyarthrite rhumatoïde, Homme, Evaluation, Traitement, Service santé, Soin intégré, Epidémiologie, Etude comparative, Questionnaire, Pronostic, Long terme, Chronique, Système ostéoarticulaire pathologie, Rhumatisme inflammatoire, Immunopathologie, Maladie autoimmune, Système soins

    Mots-clés Pascal anglais : Rheumatoid arthritis, Human, Evaluation, Treatment, Health service, Managed care, Epidemiology, Comparative study, Questionnaire, Prognosis, Long term, Chronic, Diseases of the osteoarticular system, Inflammatory joint disease, Immunopathology, Autoimmune disease

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

    Cote : 98-0237090

    Code Inist : 002B15D. Création : 11/09/1998.