Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
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Puchner, RJ; Gaugg, M; Graninger, W; .
Rheumatological Care in Austria - A Status Survey.
AKTUEL RHEUMATOL. 2013; 38(2): 114-118.
Doi: 10.1055/s-0032-1331199
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- Co-Autor*innen der Med Uni Graz
- Graninger Winfried
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- Abstract:
- Objective: The aim of this study was to make an evaluation of implementation of international recommendations for the management of rheumatoid arthritis in Austria ("treat to target"). Methods: A questionnaire was sent to all 494 members of the Austrian Society for Rheumatology and Rehabilitation (GR). The following aspects were considered: infrastructure of the treatment unit, documentation and quality control, arrangement of patient information and treatment contract, assessment of disease activity, consequences with regard to documentation and impact to treatment, barriers to optimal care. Results: On average the participating rheumatologists see 15 patients with rheumatoid arthritis per week. Documentation of patient care is performed by a physician in 80 %; in 20 % it is supported by a health professional. Rheumatology health professionals are working in 29 % of private practices and hospitals. In 88 % and 81 %, respectively, written information leaflets and materials of the GR are used as education and consent forms. 43 % of all respondents train the patients in a structured form, 82 % of physicians regularly participate in quality circles and working groups. For regular monitoring of disease activity 71 % of respondents use validated scores. All data, however, have to be considered with the low response rate to the survey (15 %). The strongest barrier to optimal targeted therapy is a lack of reimbursement possibilities with health insurances for medical services. Conclusion: The participating rheumatologists have an appropriate level of knowledge about the management of patients with rheumatoid arthritis; they largely document the disease process by themselves. The supportive use of specialised assistants is required by the majority both in private practices and inpatient facilities. The "treat to target" recommendations will be implemented by the vast majority of the rheumatologists answered within the bounds of economic possibilities.
- Find related publications in this database (Keywords)
- rheumatoid Arthritis
- implementation of treat-to-target recommendations
- Austrian rheumatologists
- optimisation of treatment
- health-care structures