QUALITY OF CARE IN RHEUMATOID ARTHRITIS Sample Clauses

QUALITY OF CARE IN RHEUMATOID ARTHRITIS. The focus of patient care, particularly in those people with chronic illness has recently shifted from recording simple outcomes to focusing specifically on the quality of care provided within the National Health Service (NHS) in the UK. A number of UK national bodies and groups have reported on the components of quality care for people with rheumatoid arthritis (RA). Key recent reports have been published by the NICE [NICE clinical guideline 2009], the National Audit Office [National Audit Office, 2009] and the King’s Fund [Xxxxxxx et al. 2009]. These built on earlier reports from ARMA [ARMA Standards of Care 2004] and BSR guidelines [Xxxxxxx et al. 2005]. These reports overlap with the new focus on quality care throughout the National Health Service (NHS) [Department of Health 2006] [Darzi 2008]. NICE guidance from 2009 [NICE clinical guidance 79] clearly state that patient centred care should be at the heart of RA management. NICE reviewed many observational and qualitative studies [Bath et al. 1999; Xxxx et al. 2003; Xxxxxxxx et al. 2004; Xxxxxx et al. 2004; Xxxxxx et al. 2006; Xxxxx et al. 2005; Xxxx et al. 2007; Xxxxxxxx et al. 2007; Xxxxx et al. 2007; Xxxxxx et al. 1999; Xxxxx et al. 2006] and determined that the areas of care most important to patients were knowledge of RA, information about medications, good communication and access to practitioners between appointments. The areas of care that RA patients deemed inadequate were the lack of a multidisciplinary team approach with different team members not having access to their files, lack of care coordination between team members; limited contact with providers of care; lack of continuity of care; lack of social support and to be more involved in treatment decisions. If true patient centred care is to be established it will be important to identify any barriers that may exist in the current system that prevent this. Deficiencies can be identified using existing standards of care such as ARMA standards of care [ARMA 2004]; these deficiencies may be relevant on a national level but equally may be specific to certain areas. This is best done by engaging with RA patients as well as providers of care using both qualitative and quantitative measures.
Sample 1
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