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类风湿关节炎卓越中心的系统和渐进实施:方法学建议。

Systematic and progressive implementation of the centers of excellence for rheumatoid arthritis: a methodological proposal.

机构信息

Biomab - Center for Rheumatoid Arthritis, Calle 48 #13-86, Bogotá, Colombia.

Servicio de reumatología, Fundación Hospital Universitario del Norte, Calle 30 al lado del parque Muvdi, Barranquilla, Colombia.

出版信息

Clin Rheumatol. 2017 Dec;36(12):2855-2858. doi: 10.1007/s10067-017-3790-7. Epub 2017 Aug 24.

DOI:10.1007/s10067-017-3790-7
PMID:28840387
Abstract

The implementation of excellence centers in specific diseases has been gaining recognition in the field of health; specifically in rheumatoid arthritis, where the prognosis of the disease is related to an early diagnosis and a timely intervention, it is necessary that the provision of health services is developed in an environment of quality, opportunity, and safety with the highest standards of care. A methodology that allows this implementation in such a way that is achievable by the most of the care centers is a priority to achieve a better attention to populations with this disease. In this paper, we propose a systematic and progressive methodology that will help all the institutions to develop successful models without faltering in the process. The expected impact on public health is defined by a better effective coverage of high-quality treatments, obtaining better health outcomes with safety and accessibility that reduces the budgetary impact for the health systems of our countries.

摘要

卓越中心在特定疾病中的实施在卫生领域得到了认可;特别是在类风湿性关节炎中,疾病的预后与早期诊断和及时干预有关,因此有必要在质量、机会和安全的环境中提供卫生服务,并提供最高标准的护理。一种能够使大多数护理中心实现这一目标的方法是实现对患有这种疾病的人群进行更好关注的优先事项。在本文中,我们提出了一种系统的、渐进的方法,该方法将帮助所有机构在不陷入困境的情况下开发成功的模式。对公共卫生的预期影响是通过更好地有效覆盖高质量的治疗来定义的,从而获得更好的健康结果,同时具有安全性和可及性,从而降低我们各国卫生系统的预算影响。

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本文引用的文献

1
Rheumatoid arthritis in Latin America. Important challenges to be solved.拉丁美洲的类风湿性关节炎。有待解决的重大挑战。
Clin Rheumatol. 2015 Mar;34 Suppl 1(Suppl 1):S1-3. doi: 10.1007/s10067-015-3048-1. Epub 2015 Aug 9.
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From the model of integral attention to the creation of centers of excellence in rheumatoid arthritis.从整体关注模式到类风湿关节炎卓越中心的创建。
Clin Rheumatol. 2015 Mar;34 Suppl 1(Suppl 1):S71-7. doi: 10.1007/s10067-015-3017-8. Epub 2015 Jul 26.
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Challenges and opportunities for diagnosis and treatment of rheumatoid arthritis in Latin America.
Open Access Rheumatol. 2020 Nov 6;12:249-256. doi: 10.2147/OARRR.S270700. eCollection 2020.
拉丁美洲类风湿关节炎诊断与治疗面临的挑战和机遇
Clin Rheumatol. 2015 Mar;34 Suppl 1(Suppl 1):S5-7. doi: 10.1007/s10067-015-3019-6. Epub 2015 Jul 17.
4
REAL-PANLAR Project for the Implementation and Accreditation of Centers of Excellence in Rheumatoid Arthritis Throughout Latin America: A Consensus Position Paper From REAL-PANLAR Group on Improvement of Rheumatoid Arthritis Care in Latin America Establishing Centers of Excellence.拉丁美洲类风湿关节炎卓越中心实施与认证的REAL-PANLAR项目:REAL-PANLAR小组关于改善拉丁美洲类风湿关节炎护理及建立卓越中心的共识立场文件
J Clin Rheumatol. 2015 Jun;21(4):175-80. doi: 10.1097/RHU.0000000000000247.
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Current therapies in rheumatoid arthritis: a Latin American perspective.类风湿关节炎的当前治疗方法:拉丁美洲视角
Reumatol Clin. 2013 Mar-Apr;9(2):106-12. doi: 10.1016/j.reuma.2012.09.001. Epub 2013 Jan 20.
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The importance of rheumatology biologic registries in Latin America.拉丁美洲风湿病生物制剂注册研究的重要性。
Rheumatol Int. 2013 Apr;33(4):827-35. doi: 10.1007/s00296-012-2610-2. Epub 2012 Dec 23.
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Gender differences in Latin-American patients with rheumatoid arthritis.拉丁美洲类风湿性关节炎患者的性别差异。
Gend Med. 2012 Dec;9(6):490-510.e5. doi: 10.1016/j.genm.2012.10.005.
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Management of patients with rheumatoid arthritis in Latin America: a consensus position paper from Pan-American League of Associations of Rheumatology and Grupo Latino Americano De Estudio De Artritis Reumatoide.拉丁美洲类风湿关节炎患者的管理:泛美风湿病协会联盟和拉丁美洲类风湿关节炎研究小组的共识立场文件
J Clin Rheumatol. 2009 Jun;15(4):203-10. doi: 10.1097/RHU.0b013e3181a90cd8.
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Clin Exp Rheumatol. 2002 Sep-Oct;20(5):617-24.