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Quality-of-care standards for early arthritis clinics

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Abstract

The diagnosis and treatment of early arthritis is associated with improved patient outcomes. One way to achieve this is by organising early arthritis clinics (EACs). The objective of this project was to develop standards of quality for EACs. The standards were developed using the two-round Delphi method. The questionnaire, developed using the best-available scientific evidence, includes potentially relevant items describing the dimensions of quality of care in the EAC. The questionnaire was completed by 26 experts (physicians responsible for the EACs in Spain and chiefs of the rheumatology service in Spanish hospitals). Two hundred and forty-four items (standards) describing the quality of the EAC were developed, grouped by the following dimensions: (1) patient referral to the EAC; (2) standards of structure for an EAC; (3) standards of process; (4) relation between primary care physicians and the EAC; (5) diagnosis and assessment of early arthritis; (6) patient treatment and follow-up in the EAC; (7) research and training in an EAC; and (8) quality of care perceived by the patient. An operational definition of early arthritis was also developed based on eight criteria. The standards developed can be used to measure/establish the requirements, resources, and processes that EACs have or should have to carry out their treatment, research, and educational activities. These standards may be useful to health professionals, patient associations, and health authorities.

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Acknowledgments

The authors thank the 26 rheumatologists who formed the Delphi experts’ panel for their valuable responses and contribution in the development of these standards. The project was funded by an unrestricted grant from Abbott Laboratories.

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Authors and Affiliations

  1. Hospital Universatario La Fe, Valencia, Spain

    José Andrés Román Ivorra

  2. Fundación Jiménez Díaz, Madrid, Spain

    Juan Antonio Martínez

  3. Advanced Techniques for Health Services Research (TAISS), C/Cambrils 49, 28034, Madrid, Spain

    Pablo Lázaro

  4. Hospital Virgen Macarena, Sevilla, Spain

    Federico Navarro

  5. Hospital Universitario Carlos Haya, Málaga, Spain

    Antonio Fernandez-Nebro

  6. Hospital Universitario La Paz, Madrid, Spain

    Eugenio de Miguel

  7. Spanish Society of Rheumatology, Madrid, Spain

    Estibaliz Loza

  8. Health Sciences School, Universidad Camilo José Cela, Madrid, Spain

    Loreto Carmona

Authors
  1. José Andrés Román Ivorra
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  2. Juan Antonio Martínez
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  3. Pablo Lázaro
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  4. Federico Navarro
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  5. Antonio Fernandez-Nebro
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  6. Eugenio de Miguel
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  7. Estibaliz Loza
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  8. Loreto Carmona
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Correspondence to Pablo Lázaro.

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Ivorra, J.A.R., Martínez, J.A., Lázaro, P. et al. Quality-of-care standards for early arthritis clinics. Rheumatol Int 33, 2459–2472 (2013). https://doi.org/10.1007/s00296-013-2741-0

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  • DOI: https://doi.org/10.1007/s00296-013-2741-0

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