Yazdany Jinoos, MacLean Catherine H
Division of Rheumatology, Department of Medicine, University of California-San Francisco, CA 94143, USA.
Curr Opin Rheumatol. 2008 Mar;20(2):159-66. doi: 10.1097/BOR.0b013e3282f50ec4.
To review the recent literature examining quality of care for several prevalent rheumatic conditions, including rheumatoid arthritis, osteoarthritis, gout and osteoporosis, and to summarize quality measurement and improvement initiatives relevant to rheumatology in the USA.
In recent years, research has identified a significant gap between ideal and actual clinical practice in the USA. Consistent with trends seen in the US healthcare system as a whole, research suggests deficits in healthcare quality for populations with rheumatic conditions. We review the growing literature on quality of care for rheumatoid arthritis, osteoarthritis, gout and glucocorticoid-induced osteoporosis.
Existing evidence suggests suboptimal healthcare quality for four common rheumatic conditions, a finding that parallels trends in the healthcare system as a whole.
回顾近期有关几种常见风湿性疾病（包括类风湿关节炎、骨关节炎、痛风和骨质疏松症）护理质量的文献，并总结美国与风湿病相关的质量测量和改进举措。
近年来，研究发现美国理想临床实践与实际临床实践之间存在显著差距。与美国整个医疗系统的趋势一致，研究表明患有风湿性疾病人群的医疗质量存在缺陷。我们回顾了关于类风湿关节炎、骨关节炎、痛风和糖皮质激素诱导的骨质疏松症护理质量的不断增多的文献。
现有证据表明四种常见风湿性疾病的医疗质量欠佳，这一发现与整个医疗系统的趋势相似。
