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Title: | Value-Based Healthcare in Rheumatology: Axial Spondyloarthritis and Beyond. | Austin Authors: | Liew, David F L ;Dau, Jonathan;Robinson, Philip C | Affiliation: | Department of Medicine, University of Melbourne, Parkville, Victoria, Australia Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, MA, USA Department of Rheumatology, Royal Brisbane & Women's Hospital, Metro North Hospital & Health Service, Bowen Bridge Road, Herston, Queensland, 4006, Australia Faculty of Medicine, University of Queensland School of Clinical Medicine, Herston, Queensland, 4006, Australia Department of Clinical Pharmacology and Therapeutics, Austin Health, Heidelberg, Victoria, Australia Rheumatology |
Issue Date: | 28-Apr-2021 | Date: | 2021-04-28 | Publication information: | Current Rheumatology Reports 2021; 23(6): 36 | 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. | URI: | https://ahro.austin.org.au/austinjspui/handle/1/26352 | DOI: | 10.1007/s11926-021-01003-z | ORCID: | 0000-0001-8451-8883 0000-0002-3156-3418 |
Journal: | Current Rheumatology Reports | PubMed URL: | 33909169 | Type: | Journal Article | Subjects: | Ankylosing spondylitis Axial spondyloarthritis Diagnosis Health economics Low benefit care Pharmacoeconomics Rheumatology Treatment strategy Value-based healthcare |
Appears in Collections: | Journal articles |
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