Perceived quality in patients with gout treated in a rheumatology clinic with a clinical nurse specialist

Calvo-Aranda, Enrique; Sanchez-Aranda, Fernando Manuel; Méndez, Laura Cebrián; Mano, María de los Ángeles Matías de la; Oliveira, Leticia Lojo; Marco, M. T. Navio

doi:10.1016/j.reumae.2021.07.001

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…However, there are data in the literature regarding rheumatology nursing consultations and the resulting quality from a patient standpoint [ 91 , 92 ]. Thus, in older patients it would be very interesting to attempt this type of intervention in which support is provided to both the patient and his or her close environment (family and/or social) in the management of anti-rheumatic therapies (at least at the beginning of treatment).…”

Section: Management Of Signs or Symptoms Is Perceived As Problematic ...mentioning

confidence: 99%

Difficult-to-Treat Rheumatoid Arthritis in Older Adults: Implications of Ageing for Managing Patients

Novella-Navarro

Balsa

2022

Drugs Aging

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Difficult-to-treat rheumatoid arthritis is a heterogeneous term in which patients may present with difficulties in their management for different reasons. This can ultimately lead to patients being exposed to multiple treatments because of inefficacy (resulting from mechanisms intrinsic to rheumatoid arthritis or from non-inflammatory causes such as chronic pain syndrome or structural damage, among others), toxicity or adverse effects that may be linked to comorbidities. One particular group in which such characteristics may be more patent is older patients. Increasing life expectancy, an ageing population and the late onset of rheumatoid arthritis have led to an increased interest in the particularities of treating older patients. This may pose a challenge for physicians, as ageing has implications for optimal patient treatment owing to the potential presence of comorbidities, the risk of adverse events and perceptions of disease status by both physicians and patients. All of these factors may have implications for classifying and managing patients aged > 65 years as difficult-to-treat rheumatoid arthritis, as these patients could be misclassified. This can occur when a significant proportion may still exhibit signs of active disease but not necessarily be difficult to treat because the treatment criterion has not been fulfilled. Alternatively, patients may be exposed to multiple biologic/targeted disease-modifying antirheumatic drugs because of contraindications and/or comorbid conditions. Treatment-to-target strategies and an adequate assessment of inflammatory rheumatoid arthritis activity in older patients should be undertaken, taking special care with associated comorbidities, polypharmacy and risk profiles. Such an approach can help to ensure appropriate treatment for older adults and avoid the misclassification of difficult-to-treat patients.

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Section: Management Of Signs or Symptoms Is Perceived As Problematic ...mentioning

confidence: 99%

Difficult-to-Treat Rheumatoid Arthritis in Older Adults: Implications of Ageing for Managing Patients

Novella-Navarro

Balsa

2022

Drugs Aging

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“…(8) En el primer informe global conjunto de la OMS, la OCDE y el grupo del Banco Mundial se deja en claro que los servicios de atención médica de mala calidad están sofocando el progreso en la mejora de la atención en los países en desarrollo. (9,10,11) Una investigación de ocho países con alta tasa de mortalidad en El Caribe y África descubrió que los servicios de salud materna y neonatal de alta calidad son pocos comunes; solo 28 % de la atención prenatal, 26 % de la atención en planificación familiar y un 21 % de los servicios pediátricos en estos países evaluaron la atención como positiva. (12) En las Américas tras investigar las experiencias y la confianza de las personas en los servicios de salud, se demostró que hay altos niveles de insatisfacción; solo el 39 % pensó que la atención era satisfactoria y un 61 % dijo que el centro de salud no brindaba atención eficiente.…”

Section: Introductionunclassified

Satisfaction of university teachers attended at a private health care facility in northern Lima

Asencios-Trujillo,

Piñas-Rivera

2023

Salud, Ciencia y Tecnología - Serie de Conferencias

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La satisfacción del usuario es la medida en que las personas van a atenderse recibiendo una atención conforme o no en la institución estatal o privada, es por ello que, el objetivo del estudio es, determinar la satisfacción de los Docentes Universitarios atendidos en un establecimiento de salud privado en Lima Norte. Es un estudio cuantitativo, descriptivo, transversal y no experimental, con una población de 143 Docentes Universitarios que resolvieron un cuestionario de aspectos sociodemográficos y el instrumento para medir la satisfacción. En sus resultados, en su dimensión fiabilidad, los Docentes Universitarios que se encontraban insatisfechos eran de un 22 % y los que estaban satisfechos era de 78 %. En conclusión, las instituciones privadas deben mejorar la comprensión usando un lenguaje que permita entender a las personas, ya que ello permite una buena relación profesional de salud-paciente.

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Perceived quality in patients with gout treated in a rheumatology clinic with a clinical nurse specialist

Cited by 2 publications

References 24 publications

Difficult-to-Treat Rheumatoid Arthritis in Older Adults: Implications of Ageing for Managing Patients

Difficult-to-Treat Rheumatoid Arthritis in Older Adults: Implications of Ageing for Managing Patients

Satisfaction of university teachers attended at a private health care facility in northern Lima

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