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ID 52933
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Title Alternative
Hospital and clinic cooperation for the treatment of rheumatoid arthritis in Okayama Prefecture, Japan
FullText URL
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Author
Yamanaka, Takao
Misaki, Kenta
Shinoda, Junko
Takagi, Toru
Yano, Ryusuke
Nakamura, Akihiko
Nanba, Yoshifumi
Morita, Yoshitaka
Koyama, Yoshinobu
Yamamoto, Keiji
Ezawa, Kazuhiko
Ota, Yusuke
Yoshihara, Yoshiki
Miyoshi, Shinya
Natsumeda, Masamitsu
Usui, Masaaki
Yoshinaga, Yasuhiko
Hayashi, Takashi
Yamamura, Masahiro
Hashizume, Hiroyuki
Abstract
Objective: To survey the current status and problems of cooperation between clinics and hospitals in Okayama Prefecture, Japan for the treatment of rheumatoid arthritis (RA).  Methods: We distributed a questionnaire to 300 of the 983 Okayama Prefecture clinics that had either an internal medicine or orthopedic surgery department, from December 2013 to February 2014. The questionnaire covered practice pattern for RA treatment in clinics, current status of the hospital and clinic cooperation, and acceptance of the biologic therapy.  Results: One hundred clinics responded to the questionnaire. Seventy percent of the clinics reported making referrals to rheumatologists before the initiation of RA treatment, and half of the other 30% of the clinics administered methotrexate as the first-line treatment for RA by their own decision. Sixty-six clinics cooperated with flagship hospitals, conducting medical and laboratory examinations, providing prescriptions, and treating common diseases of patients. These clinics expected the cooperating rheumatologists to follow-up patients every 3 to 6 months and to make the diagnosis, make decisions regarding RA treatment changes, and perform surgery. Seventy-one percent of the clinics responded that cooperation with a hospital is possible even for patients who are administered biologics. As reasons for no cooperation with the flagship hospitals, clinics noted the lack of information about rheumatologists in the area and recent trends in the management of RA.  Conclusion: The current study reported, for the first time, the actual conditions of management of RA in clinics, as well as future problems of hospital and clinic cooperation in Okayama Prefecture.
Keywords
病診連携(hospital and clinic cooperation)
関節リウマチ(rheumatoid arthritis)
生物学的製剤(biologics)
メトトレキサート(methotrexate)
Note
原著 (Original Paper)
Publication Title
岡山医学会雑誌
Published Date
2014-12-01
Volume
volume126
Issue
issue3
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
209
End Page
215
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
OAI-PMH Set
岡山大学
language
日本語
Copyright Holders
Copyright (c) 2014 岡山医学会
File Version
publisher
Refereed
True
DOI
NAID
Eprints Journal Name
joma
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