Abstract
The implementation of excellence centers in specific diseases has been gaining recognition in the field of health; specifically in rheumatoid arthritis, where the prognosis of the disease is related to an early diagnosis and a timely intervention, it is necessary that the provision of health services is developed in an environment of quality, opportunity, and safety with the highest standards of care. A methodology that allows this implementation in such a way that is achievable by the most of the care centers is a priority to achieve a better attention to populations with this disease. In this paper, we propose a systematic and progressive methodology that will help all the institutions to develop successful models without faltering in the process. The expected impact on public health is defined by a better effective coverage of high-quality treatments, obtaining better health outcomes with safety and accessibility that reduces the budgetary impact for the health systems of our countries.
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References
de la Vega M et al (2013) The importance of rheumatology biologic registries in Latin America. Rheumatol Int 33(4):827-835
Cardiel MH y, Rojas-Serrano J (2002) Community based study to estimate prevalence, burden of illness and help seeking behavior in rheumatic diseases in Mexico City. A COPCORD study. Clin Exp Rheum 20(5):617-624
Burgos-Vargas R et al (2013) Current therapies in rheumatoid arthritis: A Latin American perspective. Reumatol Clin 9(2):106-112
Santos-Moreno P, Galarza-Maldonado C, Caballero-Uribe CV, Cardiel MH, Massardo L, Soriano ER, Olano JA (2015) REAL-PANLAR Project for the implementation and accreditation of centers of excellence in rheumatoid arthritis throughout Latin America. J Clin Rheumatol 21(4):175-180
Barragán-Martínez C et al (2012) Gender differences in Latin-American patients with rheumatoid arthritis. Gend Med 9(6):490-510
Burgos Vargas R and Cardiel MH (2015) Rheumatoid arthritis in Latin America. Important challenges to be solved. Brussels: Clin Rheumatol 34(Suppl 1):S1-S3
Massardo L, et al (2009) Management of patients with rheumatoid arthritis in Latin America: a consensus position paper from Pan-American League of Associations of Rheumatology and Grupo Latino Americano De Estudio De Artritis Reumatoide. J Clin Rheumatol 15(4):203-210
Santos-Moreno P et al (2015) Cost reduction for a health system through decreasing number of eligible patients for biological therapy in patients with rheumatoid arthritis using the treat to target recommendations. Value Health 18(7):A808
Pineda C and Caballero-Uribe CV (2015) Challenges and opportunities for diagnosis and treatment of rheumatoid arthritis in Latin America. Brussels: Clin Rheumatol 34(Suppl 1):S5-S7
Santos-Moreno P et al (2015) From the model of integral attention to the creation of centers of excellence in rheumatoid arthritis. Brussels: Clin Rheumatol 34(Suppl 1):S71-S77
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Santos-Moreno, P., Caballero-Uribe, C.V., Massardo, M.L. et al. Systematic and progressive implementation of the centers of excellence for rheumatoid arthritis: a methodological proposal. Clin Rheumatol 36, 2855–2858 (2017). https://doi.org/10.1007/s10067-017-3790-7
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DOI: https://doi.org/10.1007/s10067-017-3790-7