Transforming Osteoarthritis Care in an Era of Health Care Reform

被引:5
作者
Gruber, William H.
Hunter, David J. [1 ,2 ]
机构
[1] Univ Sydney, Dept Rheumatol, No Clin Sch, Sydney, NSW 2065, Australia
[2] New England Baptist Hosp, Div Res, Boston, MA 02120 USA
关键词
Osteoarthritis; Elderly; Conservative care; Health reform; Medical leadership; Broken health care system; RHEUMATIC CONDITIONS; KNEE OSTEOARTHRITIS; CRITICAL-APPRAISAL; MEDICAL-CARE; ARTHRITIS; ARTHROPLASTY; PREVALENCE; GUIDELINES;
D O I
10.1016/j.cger.2010.03.005
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
030301 [社会学]; 100201 [内科学];
摘要
This article describes the dysfunctional delivery of existing conservative care practices in the treatment of osteoarthritis (OA) within the context of a dynamic environment of health reform. It is written from the patient perspective of one of the authors who is afflicted with OA and with the added clinical view of a rheumatologist. The authors envision benefits of more cost-effective care, a decrease in the impact of chronic illness on the financial viability of the United States, and an improvement in the quality of care provided to patients. These benefits can be achieved with tested innovations organized within the integrated delivery system described in this article.
引用
收藏
页码:433 / +
页数:14
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