AI Article Synopsis
- - The study aimed to evaluate how multidisciplinary care models are applied in treating psoriatic arthritis (PsA) patients and to establish minimum and excellent standards of care.
- - A survey was conducted among clinicians involved in multidisciplinary care, assessing the types of care models used and the implementation of quality standards, with discussions held at regional meetings to prioritize these standards.
- - Results showed a wide variability in the implementation of quality standards across different areas, with 9 standards identified as minimum, 4 as excellent, and the remaining 12 having criteria for both levels, ultimately aiding in improving healthcare for PsA patients.
Article Abstract
Objective: 1) To analyze the implementation of multidisciplinary care models in psoriatic arthritis (PsA) patients, 2) To define minimum and excellent standards of care.
Methods: A survey was sent to clinicians who already performed multidisciplinary care or were in the process of undertaking it, asking: 1) Type of multidisciplinary care model implemented; 2) Degree, priority and feasibility of the implementation of quality standards in the structure, process and result for care. In 6 regional meetings the results of the survey were presented and discussed, and the ultimate priority of quality standards for care was defined. At a nominal meeting group, 11 experts (rheumatologists and dermatologists) analyzed the results of the survey and the regional meetings. With this information, they defined which standards of care are currently considered as minimum and which are excellent.
Results: The simultaneous and parallel models of multidisciplinary care are those most widely implemented, but the implementation of quality standards is highly variable. In terms of structure it ranges from 22% to 74%, in those related to process from 17% to 54% and in the results from 2% to 28%. Of the 25 original quality standards for care, 9 were considered only minimum, 4 were excellent and 12 defined criteria for minimum level and others for excellence.
Conclusions: The definition of minimum and excellent quality standards for care will help achieve the goal of multidisciplinary care for patients with PAs, which is the best healthcare possible.
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| http://dx.doi.org/10.1016/j.reuma.2018.01.010 | DOI Listing |
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