Investigating Associations Between Access to Rheumatology Care, Treatment, Continuous Care, and Healthcare Utilization and Costs Among Older Individuals With Rheumatoid Arthritis

医学 医疗保健 痹症科 队列 类风湿性关节炎 内科学 人口 间接成本 物理疗法 家庭医学 急诊医学 环境卫生 经济增长 会计 业务 经济
作者
Claire E.H. Barber,Diane Lacaille,Ruth Croxford,Cheryl Barnabe,Deborah A Marshall,Michal Abrahamowicz,Hui Xie,J Antonio Aviña-Zubieta,John M. Esdaile,Glen S Hazlewood,Peter Faris,Steven Katz,Paul MacMullan,Dianne Mosher,Jessica Widdifield
出处
期刊:The Journal of Rheumatology [The Journal of Rheumatology Publishing Company Limited]
卷期号:: jrheum.220729-jrheum.220729
标识
DOI:10.3899/jrheum.220729
摘要

To examine the association between rheumatologist access, early treatment, and ongoing care of older-onset rheumatoid arthritis (RA) and healthcare utilization and costs following diagnosis.We analyzed data from a population-based inception cohort of individuals aged > 65 years with RA in Ontario, Canada, diagnosed between 2002 and 2014 with follow-up to 2019. We assessed 4 performance measures in the first 4 years following diagnosis, including access to rheumatology care, yearly follow-up, timely treatment, and ongoing treatment with a disease-modifying antirheumatic drug. We examined annual healthcare utilization, mean direct healthcare costs, and whether the performance measures were associated with costs in year 5.A total of 13,293 individuals met inclusion criteria. The mean age was 73.7 (SD 5.7) years and 68% were female. Total mean direct healthcare cost per individual increased annually and was CAD $13,929 in year 5. All 4 performance measures were met for 35% of individuals. In multivariable analyses, costs for not meeting access to rheumatology care and timely treatment performance measures were 20% (95% CI 8-32) and 6% (95% CI 1-12) higher, respectively, than where those measures were met. The main driver of cost savings among individuals meeting all 4 performance measures were from lower complex continuing care, home care, and long-term care costs, as well as fewer hospitalizations and emergency visits.Access to rheumatologists for RA diagnosis, timely treatment, and ongoing care are associated with lower total healthcare costs at 5 years. Investments in improving access to care may be associated with long-term health system savings.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
苏黎世发布了新的文献求助10
刚刚
1秒前
乔安发布了新的文献求助10
1秒前
炫哥IRIS发布了新的文献求助10
1秒前
LaTeXer给积极行天的求助进行了留言
2秒前
ww发布了新的文献求助10
2秒前
Carlo完成签到,获得积分10
3秒前
蓝胖子完成签到 ,获得积分10
4秒前
5秒前
终生科研徒刑完成签到 ,获得积分10
5秒前
6秒前
ysc发布了新的文献求助20
8秒前
9秒前
LKX完成签到 ,获得积分10
9秒前
纯真的诗兰完成签到,获得积分10
10秒前
自然函完成签到 ,获得积分10
10秒前
等一个晴天完成签到,获得积分10
11秒前
as发布了新的文献求助100
11秒前
天天快乐应助科研通管家采纳,获得10
11秒前
研友_VZG7GZ应助科研通管家采纳,获得10
11秒前
个性元枫应助科研通管家采纳,获得10
11秒前
kingwill应助科研通管家采纳,获得20
11秒前
顾矜应助科研通管家采纳,获得10
11秒前
11秒前
慕青应助科研通管家采纳,获得10
11秒前
今后应助科研通管家采纳,获得10
11秒前
隐形曼青应助科研通管家采纳,获得10
11秒前
Hello应助科研通管家采纳,获得10
11秒前
小蘑菇应助科研通管家采纳,获得10
11秒前
Ava应助科研通管家采纳,获得10
12秒前
海东来应助科研通管家采纳,获得30
12秒前
JamesPei应助科研通管家采纳,获得10
12秒前
个性元枫应助科研通管家采纳,获得10
12秒前
茕凡桃七完成签到,获得积分10
12秒前
大个应助科研通管家采纳,获得10
12秒前
所所应助科研通管家采纳,获得10
12秒前
Hello应助科研通管家采纳,获得30
12秒前
12秒前
烟花应助科研通管家采纳,获得10
12秒前
12秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
Research on Disturbance Rejection Control Algorithm for Aerial Operation Robots 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038446
求助须知:如何正确求助?哪些是违规求助? 3576149
关于积分的说明 11374627
捐赠科研通 3305875
什么是DOI,文献DOI怎么找? 1819354
邀请新用户注册赠送积分活动 892680
科研通“疑难数据库(出版商)”最低求助积分说明 815048