Ambs-Dapperger M, Senn E
Institut für Medizinische Balneologie und Klimatologie, München.
Z Rheumatol. 1992;51 Suppl 1:25-34.
Rheumatoid arthritis (RA) is a disease that confronts the primary care practitioner with medical and organizational problems. There are only few experiences in diagnosis and therapy of (early) RA because of the low prevalence rate. Especially in rural districts there is a deficit in physiotherapists, ergotherapists, and psychologists with knowledge in rheumatology. The cooperation with rheumatologists is an organizational problem. In a study of 817 RA patients it could be shown that organizational help and, the offer of complementary therapy in the vicinity of a patient's home led to an increase of well-being and decrease in costs and severity of the disease.
类风湿性关节炎（RA）是一种给初级保健医生带来医疗和组织问题的疾病。由于患病率低，（早期）RA的诊断和治疗经验很少。特别是在农村地区，缺乏具备风湿病学知识的物理治疗师、职业治疗师和心理学家。与风湿病专家的合作是一个组织问题。在一项对817名RA患者的研究中发现，组织援助以及在患者家附近提供辅助治疗能够提高患者的幸福感，并降低疾病的成本和严重程度。
