Division of Rheumatology, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA 02115, USA.
Division of Rheumatology, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA 02115, USA; Division of Pharmacoepidemiology, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA 02115, USA.
Rheum Dis Clin North Am. 2019 Feb;45(1):101-112. doi: 10.1016/j.rdc.2018.09.007.
Despite evidence that treat-to-target (TTT) approaches lead to better disease outcomes in RA, TTT is not widely implemented in rheumatology clinics in North America. This article discusses the barriers (including access to care, patient and physician factors, and systems issues) to implementing TTT in the clinic, and proposes possible solutions and future research directions.
尽管有证据表明，达标治疗（Treat-to-Target，TTT）方法可改善类风湿关节炎（rheumatoid arthritis，RA）的疾病结局，但在北美的风湿科诊所中，TTT 并未广泛实施。本文讨论了在临床实践中实施 TTT 的障碍（包括获得医疗服务的机会、患者和医生因素以及系统问题），并提出了可能的解决方案和未来的研究方向。
