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Perceived barriers to integrated care in rheumatoid arthritis: views of recipients and providers of care in an inner-city setting

BACKGROUND: A number of recent reports published in the UK have put the quality of care of adults with Rheumatoid Arthritis (RA) centre stage. These documents set high standards for health care professionals and commissioning bodies that need to be implemented into routine clinical practice. We ther...

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Autores principales: Pollard, Louise C, Graves, Helen, Scott, David L, Kingsley, Gabrielle H, Lempp, Heidi
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3031274/
https://www.ncbi.nlm.nih.gov/pubmed/21241497
http://dx.doi.org/10.1186/1471-2474-12-19
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author Pollard, Louise C
Graves, Helen
Scott, David L
Kingsley, Gabrielle H
Lempp, Heidi
author_facet Pollard, Louise C
Graves, Helen
Scott, David L
Kingsley, Gabrielle H
Lempp, Heidi
author_sort Pollard, Louise C
collection PubMed
description BACKGROUND: A number of recent reports published in the UK have put the quality of care of adults with Rheumatoid Arthritis (RA) centre stage. These documents set high standards for health care professionals and commissioning bodies that need to be implemented into routine clinical practice. We therefore have obtained the views of recipients and providers of care in inner city settings as to what they perceive are the barriers to providing integrated care. METHODS: We conducted focus groups and face to face interviews between 2005-8 with 79 participants (patients, carers, specialist medical and nursing outpatient staff and general practitioners (GPs)) working in or attending three hospitals and three primary care trusts (PCT). RESULTS: Three barriers were identified that stood in the way of seamless integrated care in RA from the perspective of patients, carers, specialists and GPs: (i) early referral (e.g. 'gate keeper's role of GPs); (ii) limitations of ongoing care for established RA (e.g. lack of consultation time in secondary care) and (iii) management of acute flares (e.g. pressure on overbooked clinics). CONCLUSION: This timely study of the multi-perspective views of recipients and providers of care was conducted during the time of publications of many important reports in the United Kingdom (UK) that highlighted key components in the provision of high quality care for adults with RA. To achieve seamless care across primary and secondary care requires organisational changes, greater personal and professional collaboration and GP education about RA.
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spelling pubmed-30312742011-02-01 Perceived barriers to integrated care in rheumatoid arthritis: views of recipients and providers of care in an inner-city setting Pollard, Louise C Graves, Helen Scott, David L Kingsley, Gabrielle H Lempp, Heidi BMC Musculoskelet Disord Research Article BACKGROUND: A number of recent reports published in the UK have put the quality of care of adults with Rheumatoid Arthritis (RA) centre stage. These documents set high standards for health care professionals and commissioning bodies that need to be implemented into routine clinical practice. We therefore have obtained the views of recipients and providers of care in inner city settings as to what they perceive are the barriers to providing integrated care. METHODS: We conducted focus groups and face to face interviews between 2005-8 with 79 participants (patients, carers, specialist medical and nursing outpatient staff and general practitioners (GPs)) working in or attending three hospitals and three primary care trusts (PCT). RESULTS: Three barriers were identified that stood in the way of seamless integrated care in RA from the perspective of patients, carers, specialists and GPs: (i) early referral (e.g. 'gate keeper's role of GPs); (ii) limitations of ongoing care for established RA (e.g. lack of consultation time in secondary care) and (iii) management of acute flares (e.g. pressure on overbooked clinics). CONCLUSION: This timely study of the multi-perspective views of recipients and providers of care was conducted during the time of publications of many important reports in the United Kingdom (UK) that highlighted key components in the provision of high quality care for adults with RA. To achieve seamless care across primary and secondary care requires organisational changes, greater personal and professional collaboration and GP education about RA. BioMed Central 2011-01-17 /pmc/articles/PMC3031274/ /pubmed/21241497 http://dx.doi.org/10.1186/1471-2474-12-19 Text en Copyright ©2011 Pollard et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Pollard, Louise C
Graves, Helen
Scott, David L
Kingsley, Gabrielle H
Lempp, Heidi
Perceived barriers to integrated care in rheumatoid arthritis: views of recipients and providers of care in an inner-city setting
title Perceived barriers to integrated care in rheumatoid arthritis: views of recipients and providers of care in an inner-city setting
title_full Perceived barriers to integrated care in rheumatoid arthritis: views of recipients and providers of care in an inner-city setting
title_fullStr Perceived barriers to integrated care in rheumatoid arthritis: views of recipients and providers of care in an inner-city setting
title_full_unstemmed Perceived barriers to integrated care in rheumatoid arthritis: views of recipients and providers of care in an inner-city setting
title_short Perceived barriers to integrated care in rheumatoid arthritis: views of recipients and providers of care in an inner-city setting
title_sort perceived barriers to integrated care in rheumatoid arthritis: views of recipients and providers of care in an inner-city setting
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3031274/
https://www.ncbi.nlm.nih.gov/pubmed/21241497
http://dx.doi.org/10.1186/1471-2474-12-19
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