✦ LIBER ✦

Team versus non-team outpatient care in rheumatoid arthritis

✍ Scribed by Monica Ahlmen; Marianne Sullivan; Anders Bjelle

Publisher: John Wiley and Sons
Year: 1988
Tongue: English
Weight: 870 KB
Volume: 31
Category: Article
ISSN: 0004-3591
DOI: 10.1002/art.1780310403

No coin nor oath required. For personal study only.

✦ Synopsis

In a rheumatology department, 2 randomized groups of female outpatients with rheumatoid arthritis were studied prospectively for 1 year. The outcome of multidisciplinary team care (T group, 31 patients) was compared with that of regular outpatient clinic care (NT group, 28 patients). Pharmacologic treatment and orthopedic specialist consultations were similar in both groups, but use of paramedical care was higher in the T group. Outcome measures of disease activity, specific joint function, and self-rated physical discomfort disclosed no significant differences between the 2 groups. Mental well-being increased in the T group. Overall health, measured by the Sickness Impact Profile, improved significantly only in the T group. This improvement was also significant compared with the NT group.

The importance of quality of life as a measure of disability and handicap in studies of various aspects of health care technology has been emphasized in a number of recent reports. Health status instruments have been constructed for assessment of the impact of sickness on physical, psychological, and socioeco-From the

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