J Korean Med Sci.  2021 May;36(17):e109. 10.3346/jkms.2021.36.e109.

Quality Indicators for Evaluating the Health Care of Patients with Rheumatoid Arthritis: a Korean Expert Consensus

Affiliations
  • 1Division of Rheumatology, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
  • 2Division of Rheumatology, Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea
  • 3Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea
  • 4Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea
  • 5Department of Internal Medicine, Kangdong Sacred Heart Hospital, Seoul, Korea
  • 6Division of Rheumatology, Department of Internal Medicine, Eunpyeong St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea
  • 7Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
  • 8Division of Rheumatology, Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea
  • 9Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
  • 10Department of Medical Humanities, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 11Division of Rheumatology, Department of Internal Medicine, National Medical Center, Seoul, Korea
  • 12Uhm's Hanyang Rheumatism Clinic, Seoul, Korea
  • 13Division of Rheumatology, Department of Internal Medicine, Wonkwang University Hospital, Iksan, Korea
  • 14Hanyang Clinic, Seoul, Korea
  • 15Department of Internal Medicine, Seoul Medical Center, Seoul Metropolitan Government, Seoul, Korea
  • 16Division of Rheumatology, Department of Internal Medicine, Kyung Hee University Medical Center, Kyung Hee University, Seoul, Korea

Abstract

Background
There is increasing interest in the quality of health care and considerable efforts are being made to improve it. Rheumatoid arthritis (RA) is a disease that can result in favorable outcomes when appropriate diagnosis and treatment are provided. However, several studies have shown that RA is often managed inappropriately. Therefore, the Korean College of Rheumatology aimed to develop quality indicators (QIs) to evaluate and improve the health care of patients with RA.
Methods
Preliminary QIs were derived based on the existing guidelines and QIs for RA. The final QIs were determined through two separate consensus meetings of experts. The consensus was achieved through a panel of experts who voted using the modified Delphi method.
Results
Fourteen final QIs were selected among 70 preliminary QIs. These included early referral to and regular follow-up with a rheumatologist, radiographs of the hands and feet, early initiation and maintenance of disease-modifying anti-rheumatic drug (DMARD) therapy, periodic assessment of disease activity, screening for drug safety and comorbidities,including viral hepatitis and tuberculosis before biologic DMARD therapy, periodic laboratory testing, supplementation with folic acid, assessment of the risk for cervical spine instability before general anesthesia, patient education, and specialized nurse.
Conclusion
These QIs can be used to assess and improve the quality of health care for patients with RA.

Keyword

Quality Indicators; Health Care; Arthritis; Rheumatoid; Quality of Health Care; Disease Management
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error