Literature DB >> 11501719

Health care utilization among rheumatoid arthritis patients referred to a rheumatology center: unequal needs, unequal care?

C E Jacobi1, M Triemstra, I Rupp, H J Dinant, G A Van Den Bos.   

Abstract

OBJECTIVE: To quantify the utilization of health care by rheumatoid arthritis (RA) patients and to estimate the contribution of patient characteristics to the explanation of the use of care, in order to evaluate whether those in need of care actually receive care.
METHODS: A questionnaire survey and a clinical examination were conducted among patients with RA referred to a rheumatology center. Health care utilization was assessed for medical care, allied health care, psychosocial care, and home care. The influence of sociodemographic variables and clinical and health characteristics on health care utilization was assessed by means of logistic regression.
RESULTS: Multivariate analyses showed that, for all types of services, disease-related factors explained most of the utilization. However, some sociodemographic variables (age, sex, and living situation) were also related to the utilization of care.
CONCLUSION: Most patients received the care they needed. However, for the elderly with RA, problems in access to allied health care and psychosocial care exist.

Entities:  

Mesh:

Year:  2001        PMID: 11501719     DOI: 10.1002/1529-0131(200108)45:4<324::AID-ART344>3.0.CO;2-1

Source DB:  PubMed          Journal:  Arthritis Rheum        ISSN: 0004-3591


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Review 9.  Access to an optimal treatment. Current situation.

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