Download or read book The Effectiveness and Cost effectiveness of Primary Therapist Model for the Management of Patients with Rheumatoid Arthritis microform written by Linda C. Li and published by National Library of Canada = Bibliothèque nationale du Canada. This book was released on 2004 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective. To evaluate the effectiveness and cost-effectiveness of the primary therapist model (PTM), an alternative service delivery model involving the use of multi-skilled, rheumatology trained rehabilitation therapists, for managing patients with rheumatoid arthritis (RA). Methods. The evaluation consisted of four parts. First, a systematic review was performed to examine the evidence on comprehensive physical therapy and occupational therapy for managing RA. Second, a pilot study was performed to compare the PTM with standard medical care. Third, a pragmatic RCT was conducted to compare the outcome of patients who were referred for treatment provided by a primary therapist and of those who were referred to the traditional therapy model. The primary outcome was the percentage of patients with a positive clinical response at six months, defined as a & ge;20% improvement in at least two of three measures (Health Assessment Questionnaire (HAQ) disability index, HAQ pain index, and ACREU RA Knowledge Questionnaire). Fourth, a cost-effectiveness analysis was conducted within the context of the RCT to examine the economic benefits of PTM, compared to traditional therapy (TT), from the perspectives of society (base case) and the health care system. Sensitivity analyses were performed over various approaches for costing lost productivity. Results. Of the 144 consenting patients, 73 were assigned to the PTM group and 71 to the TT group. A total of 111 patients (PTM = 63; TT = 48) completed the required assessments and were included in the analysis. At six months, 44.4% of patients in the PTM group met the clinical response criterion versus 18.8% in the TT group (chi2 = 8.09, df = 1, p = 0.004). The base-case economic evaluation showed that the use of PTM resulted in a cost-utility of $13,675 per QALY gained compared to the TT. From the perspective of Ministry of Health, the PTM dominated the TT, with an overall annual cost saving of $1,060 per patient. Conclusion. Patients who were referred to receive treatment for RA from a primary therapist might achieve better outcomes than those who were referred to traditional therapy. The results, however, should be interpreted with caution due to the high rate of dropout in the TT group.
Download or read book Modeling the Cost effectiveness of Statin Therapy in Rheumatoid Arthritis a Markov cycle Evaluation from National Data Bank for Rheumatoid Diseases written by and published by . This book was released on 2015 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The British Rheumatoid Outcome Study Group BROSG Randomised Controlled Tiral to Compare the Effectiveness and Cost effectiveness of Aggressive Versus Symptomatic Therapy in Established Rheumatoid Arthritis written by D. Symmons and published by . This book was released on 2005 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of this RCT was to examine the effectiveness and cost-effectiveness of symptomatic versus aggressive treatment in patients with established, stable rheumatoid arthritis (RA).
Download or read book Effectiveness and Costs of Multidisciplinary Care in Patients with Rheumatoid Arthritis written by Gerhardus Jacobus Tijhuis and published by . This book was released on 2002 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Feasibilty Study of the Cost effectiveness Analysis of the Treatment of Rheumatoid Arthritis written by B. F. Pettingill and published by . This book was released on 1977 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Provision of Pharmaceutical Care in a System for the Use of Methotrexate in the Treatment of Patients with Rheumatoid Arthritis written by Aygin Bayraktar and published by . This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Clinical Effectiveness and Cost effectiveness of Treat to target Strategies in Rheumatoid Arthritis written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Primary Care for the Physical Therapist written by William G. Boissonnault and published by Saunders. This book was released on 2005 with total page 414 pages. Available in PDF, EPUB and Kindle. Book excerpt: Specifically designed for physical therapists in the primary care environment, this new resource helps the reader develop the vital communication and differential diagnosis skills necessary to provide high quality patient care and assume a valuable role on the health care team. Comprehensive coverage includes each skill that the physical therapist outpatient practitioner needs to meet the challenges of a changing profession: communication skills, technical expertise, and clinical decision-making ability. This reference helps the practitioner quickly develop an accurate physical therapy diagnosis; adapt an examination and intervention approach to meet the individual's cultural, communication, anatomic, and physiologic needs and abilities; triage patients from a physical therapy perspective and decide who requires the expertise of a physical therapist certified specialist; recognize patient symptoms and signs that necessitate communication with other health care providers; and participate in the decision-making process regarding the selection of appropriate diagnostic imaging modalities. Instructor resources are available; please contact your Elsevier sales representative for details. Promotes safe, effective, and efficient care applicable to physical therapy - the first resource specifically designed for PTs in primary care. Covers both soft skills (communication and problem-solving) and technical skills (physical examination, differential diagnosis, and ancillary modalities). Emphasizes the communication skills vital for establishing rapport with patients and gathering data. Presents everything that a physical therapist needs to know about the patient interview. Lays the foundation for differential diagnosis and recognition of conditions that may require referral to other health professionals. Includes coverage of special populations, pharmacology, urgent situations, diagnostic procedures, and more.
Download or read book Physical Therapy Management written by Ronald W. Scott and published by Elsevier Health Sciences. This book was released on 2008-01-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discover what it takes to succeed in the "real world" of physical therapy practice, where you'll rely not only on your clinical skills, but on management skills such as budgeting, recruiting, professional development, and limiting your risk of liability. Expert authors Ron Scott and Christopher Petrosirio guide you through the essentials of practice management to help you understand and master these skills and more. You'll find ideas for marketing your practice, as well as advice and information on negotiation and dispute resolution, human resources management, quality and risk management, legal and ethical issues, and fiscal management. Specific case examples from the authors' own experiences illustrate important points throughout the book. Well-known author Ron Scott draws from his unique experiences as a physical therapist clinical manager, MBA, and health law attorney to provide a uniquely comprehensive and insightful overview of physical therapy practice management.An emphasis on human resources ("people") management offers effective strategies for recruiting, selecting, and retaining the best clinicians and support professionals in this increasingly competitive field.Case examples based on the authors' own experiences bring concepts to life.Engaging exercises - including group discussions, role-playing scenarios, and short answer - help you strengthen your critical thinking skills.Current terminology from the APTA Guide to Physical Therapist Practice, 2nd Edition is used throughout.
Download or read book Triple Conventional Synthetic Disease modifying Anti rheumatic Drugs for the Management of Rheumatoid Arthritis written by Dinsie Williams and published by . This book was released on 2019 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of this report is to summarize the cost-effectiveness evidence on triple csDMARDs therapy (specifically, methotrexate, sulfasalazine, hydroxychloroquine) relative to other pharmacologic options for the management of RA in North America.
Download or read book Psychosocial Factors in Arthritis written by Perry M. Nicassio and published by Springer. This book was released on 2015-11-27 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an integrative approach for the management and care of the arthritis patient. Many different psychological, social, and behavioral factors have been shown to affect the quality of life of arthritis patients beyond the effects of the disease and the response to medications and treatments. The book establishes a biopsychosocial framework for understanding the interplay between psychological and physical aspects of rheumatic disease and summarizes the research about the psychosocial aspects that affect patients with arthritis, including stress, social support, doctor-patient communication, and sleep patterns. It explores the practice of incorporating psychological and behavioral approaches in the rheumatology clinic in order to surmount the problems of access and enhance the quality of care, promotes a comprehensive perspective on the numerous issues affecting persons with arthritis, and provides clinical guidelines for management. Psychosocial Factors in Arthritis is a valuable resource for behavioral medicine researchers, behavioral clinicians, and a range of arthritis professionals, including rheumatologists, nurses, and other allied health service practitioners.
Download or read book Assessing the cost effectiveness of tumor necrosis factor inhibitors and prescribing practices of rheumatologists in patients with rheumatoid arthritis written by Khalid M. Kamal and published by . This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Assessing the Cost effectiveness of Tumor Necrosis Factor Inhibitors and Prescibing Practices of Rheumatologists in Patients with Rheumatoid Arthritis written by and published by . This book was released on 2005 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Patient initiated Care and Self monitoring in Rheumatoid Arthritis written by and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The hypothesis of this thesis was that patient initiated care (PIC) with self-monitoring symptoms in an app would safely reduce costs and save time in patients with rheumatoid arthritis (RA). Furthermore, the thesis describes the development of the app and its feasibility, explores (facilitators and barriers to) ePRO completion/adherence and the relationship between ePRO results and clinical parameters. Our results show that while PIC with self-monitoring is safe and reduces the number of visits, it does not lead to lower costs from a societal perspective. Despite not being of lower costs, the intervention, and PIC interventions in general, might still be useful. We could consider implementation of the intervention as it is of similar cost as usual care, and requires less consumption of time for rheumatic healthcare providers and patients. This will be increasingly important in the coming years due to the growing shortage of healthcare personnel.(5,6) However, the number of visits with other healthcare providers following the intervention should be monitored, as there was a trend to visit other healthcare providers more often following the intervention. Furthermore, the intervention might be of particular interest to regions/countries where there are long(er) waiting lists and more rural areas with a high average travel time to rheumatology clinics. This thesis also shows that self-monitoring is feasible, and we have identified several barriers and facilitators to ePRO completion that could improve adherence to self-monitoring. Rheumatologists should discuss results and allow patients to skip visits when the scores are low (to maximize adherence). With focus groups, we should evaluate why not all rheumatologist discuss results, so that their barriers for discussing results can be understood and possibly taken away with specific instructions that address their hesitations (which we do not know yet).
Download or read book Comprehensive Occupational Therapy for Rheumatoid Arthritis written by Carin Dreijer du Plessis and published by LAP Lambert Academic Publishing. This book was released on 2012 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rheumatoid Arthritis (RA) is a chronic disabling joint disease. Empowering patients with RA to self manage the disease can lead to changes in behaviour, pain or physical health and psychosocial health status. Limited evidence exists for the efficacy of comprehensive Occupational Therapy (OT) intervention for patients with RA in improving functional ability. This study aimed to evaluate the impact of comprehensive OT intervention on patients with RA in producing a sustained improvement in patients' functional ability. It was found that a comprehensive in-patient occupational therapy programme does lead to sustained significant improvement in functional ability and Health related quality of life (HR-QOL). Focus groups and home based intervention appears to have a clinically significant impact on disease activity.
Download or read book KNGF Guideline for physical therapy in patients with rheumatoid arthritis written by E J. Hurkmans and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guideline is intended for physical therapists (both general physical therapists and specialists like manual therapists and psychosomatic physical therapists) who treat patients for health problems related to RA in a monodisciplinary or multidisciplinary setting. Effective treatment of patients with RA requires physical therapists to possess specifi c knowledge and skills (acquired through training, experience or in-service training or refresher courses). This KNGF Guideline on Rheumatoid Arthritis intends to provide physical therapists with specific knowledge on the natural course of RA (including the associated pathophysiological processes), consequences of RA in general, consequences of RA that are modifi able by physical therapy, and information on the diagnostic and therapeutic process, including the most relevant scientific literature. This guideline can also be used by exercise therapists treating persons with RA.
Download or read book Rheumatology E Book written by Krysia Dziedzic and published by Elsevier Health Sciences. This book was released on 2010-02-22 with total page 379 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rheumatology is an indispensable resource for physiotherapists, occupational therapists and other health professionals, offering practical approaches to the treatment and management of rheumatic musculoskeletal conditions. The text focuses on applying evidence-based understanding of these conditions to clinical context. The specific disease chapters cover: incidence and prevalence of the condition; clinical presentation and diagnosis; red flags; clinical assessment; important first treatments, early intermediate and long term management; prognosis and long term outcomes. Supporting case histories of increasing complexity and study activities illustrate the clinical relevance of the treatment and management approaches. • Multidisciplinary team approach • Practical solutions to management of conditions supported by the latest research • Case histories of increasing complexity consolidate understanding and develop clinical reasoning • Highlighted boxes throughout contain study tasks and key messages
