D'Angelo Salvatore, Afeltra Antonella, Atzeni Fabiola, Baldissera Elena, Caminiti Maurizio, Ciccia Francesco, D'Agostino Maria Antonietta, Dagna Lorenzo, Erre Gian Luca, Franceschini Franco, Fusaro Enrico, Giacomelli Roberto, Gremese Elisa, Guggino Giuliana, Lomater Claudia, Lubrano Ennio, Padula Angela Anna, Pagano Mariano Giuseppa, Russo Romualdo, Sarzi Puttini Piercarlo, Scarpa Raffaele, Selmi Carlo, Tirri Enrico, Ferri Stefano, Iannone Florenzo
Dipartimento Regionale di Reumatologia, Azienda Ospedaliera Regionale (A.O.R.) San Carlo, Potenza, Italy.
Unità Operativa Complessa (U.O.C.) Immunoreumatologia, Campus Bio-Medico, Rome, Italy.
Front Med (Lausanne). 2022 May 24;9:833139. doi: 10.3389/fmed.2022.833139. eCollection 2022.
Spondyloarthritis are chronic inflammatory diseases affecting spine, peripheral joints and enthesis, as well as extra-articular sites (bowel, eyes, skin). Diagnosis of spondyloarthritis often is slow and requires a multidisciplinary approach. The "Early SpA Clinic" project aimed at improving the patient care and journeys, by solving some organizational issues existing in Rheumatology Clinics. The "Early SpA Clinic" involved 19 Italian Rheumatology Centers using in-depth organizational analyses to identify areas for improvement. From the results of the analyses, some organizational solutions were suggested, and their impact measured at the end of the project through specific KPI. With the implementation of the suggested organizational solutions, Centers achieved relevant results, positively impacting on all the phases of the patient journey: decrease in waiting lists (-23%) and in the time length to transit the Center (-22%), increase in the percentage of new diagnoses (+20%), in the saturation of outpatient clinic capacity (+16%), and in the patient satisfaction (+4%). Centers involved in the "Early SpA Clinic" implemented several organizational actions based on an overall assessment of their activities and on solutions that required no additional resources. Overall, the Centers achieved the "Early SpA Clinic" objectives in terms of better management of resources, personnel, spaces, equipment, in relation to the volumes of patients.
脊柱关节炎是一种慢性炎症性疾病，会影响脊柱、外周关节和附着点，以及关节外部位（肠道、眼睛、皮肤）。脊柱关节炎的诊断通常较为缓慢，需要多学科方法。“早期脊柱关节炎诊所”项目旨在通过解决风湿病诊所中存在的一些组织问题，改善患者护理和就医流程。“早期脊柱关节炎诊所”项目涉及19个意大利风湿病中心，这些中心通过深入的组织分析来确定需要改进的领域。根据分析结果，提出了一些组织解决方案，并在项目结束时通过特定的关键绩效指标来衡量其影响。随着所建议的组织解决方案的实施，各中心取得了显著成果，对患者就医的各个阶段都产生了积极影响：候诊名单减少了23%，在中心停留的时间缩短了22%，新诊断病例的百分比增加了20%，门诊能力饱和度提高了16%，患者满意度提高了4%。参与“早期脊柱关节炎诊所”项目的各中心基于对其活动的全面评估以及无需额外资源的解决方案，实施了多项组织行动。总体而言,就患者数量而言，各中心在资源、人员、空间、设备的更好管理方面实现了“早期脊柱关节炎诊所”的目标。
