RT Journal Article
SR Electronic
T1 Models of Arthritis Care: A Systems-Level Evaluation of Acceptability as a Dimension of Quality of Care
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP jrheum.190501
DO 10.3899/jrheum.190501
A1 Eloise C. J.  Carr
A1 Mia M.  Ortiz
A1 Jatin N.  Patel
A1 Claire E. H.  Barber
A1 Steven Katz
A1 Jill Robert
A1 Dianne Mosher
A1 Sylvia R.  Teare
A1 Jean Miller
A1 Joanne Homik
A1 Kelly Dinsmore
A1 Deborah A.  Marshall
YR 2019
UL http://www.jrheum.org/content/early/2019/11/08/jrheum.190501.abstract
AB Objective To describe a systems-level baseline evaluation of central intake (CI) and triage systems in arthritis care within Alberta, Canada. The specific objectives were: 1) describe a process for systems evaluation from multiple stakeholders for the provision of arthritis care; 2) report the findings of the evaluation for different clinical sites that provide arthritis care; and 3) identify opportunities for improving appropriate and timely access based on the findings of the evaluation. Methods The study used a convergent mixed methods design. Surveys and semi-structured interviews were the main data collection methods. Participants were recruited through two rheumatology and one hip and knee clinics providing CI and triage, and included patients, referring physicians, specialists, and clinic staff who experienced CI processes. Results A total of 237 surveys were completed by patients (n=169), referring physicians (n=50), and specialists (n=18). Interviews (n=25) with care providers and patients provided insights to the survey data. Over 95% of referring physicians agreed that the current process of CI was satisfactory. Referring physicians and specialists reported issues with the referral process and perceived support in care for waitlisted patients. Patients reported positive experiences with access and navigation of arthritis care services but expressed concerns around communication and receiving minimal support for self-management of their arthritis before and after receiving specialist care. Conclusion This baseline evaluation of CI and triage for arthritis care indicates satisfaction with the service but referral completion, timely waitlists and further supporting patients to self-manage their arthritis are areas that require further consideration.