Austin Health

Title
Value-Based Healthcare in Rheumatology: Axial Spondyloarthritis and Beyond.
Publication Date
2021-04-28
Author(s)
Liew, David F L
Dau, Jonathan
Robinson, Philip C
Subject
Ankylosing spondylitis
Axial spondyloarthritis
Diagnosis
Health economics
Low benefit care
Pharmacoeconomics
Rheumatology
Treatment strategy
Value-based healthcare
Type of document
Journal Article
OrcId
0000-0001-8451-8883
0000-0002-3156-3418
DOI
10.1007/s11926-021-01003-z
Abstract
This review examines axial spondyloarthritis (axSpA) and the wider field of rheumatology through a value-based healthcare (VBHC) lens. VBHC is focused on ensuring patients receive high quality care to improve outcomes and reduce unnecessary costs. There are many opportunities to apply the principles of VBHC in axSpA. These include the appropriate utilization of diagnostic investigations, such as HLA-B27 and magnetic resonance imaging, assessing outcomes meaningful to patients, and optimizing care pathways. Multidisciplinary care may improve value, and reduced specialist review and medication tapering may be appropriate. Increasing the value of the care we provide to patients can occur across domains and directly and indirectly improves patient outcomes. Taking the time to integrate principles of VBHC into our practice will allow us to justifiably gain and maintain access to diagnostic and therapeutic advances for the benefit of all our patients.
Link
Citation
Current Rheumatology Reports 2021; 23(6): 36
Jornal Title
Current Rheumatology Reports

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