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. 2021 May 3;36(17):e109.
doi: 10.3346/jkms.2021.36.e109.

Quality Indicators for Evaluating the Health Care of Patients with Rheumatoid Arthritis: a Korean Expert Consensus

Mi Ryoung Seo  1 , Gunwoo Kim  2 , Ki Won Moon  3 , Yoon Kyoung Sung  4 , Jong Jin Yoo  5 , Chong Hyeon Yoon  6 , Eun Bong Lee  7 , Jisoo Lee  8 , Eun Ha Kang  9 , Hyungjin Kim  10 , Eun Jung Park  11 , Wan Sik Uhm  12 , Myeung Su Lee  13 , Seung Won Lee  14 , Byoong Yong Choi  15 , Seung Jae Hong  16 , Han Joo Baek  17
Affiliations

Quality Indicators for Evaluating the Health Care of Patients with Rheumatoid Arthritis: a Korean Expert Consensus

Mi Ryoung Seo et al. J Korean Med Sci. .

Abstract

Background: There is increasing interest in the quality of health care and considerable efforts are being made to improve it. Rheumatoid arthritis (RA) is a disease that can result in favorable outcomes when appropriate diagnosis and treatment are provided. However, several studies have shown that RA is often managed inappropriately. Therefore, the Korean College of Rheumatology aimed to develop quality indicators (QIs) to evaluate and improve the health care of patients with RA.

Methods: Preliminary QIs were derived based on the existing guidelines and QIs for RA. The final QIs were determined through two separate consensus meetings of experts. The consensus was achieved through a panel of experts who voted using the modified Delphi method.

Results: Fourteen final QIs were selected among 70 preliminary QIs. These included early referral to and regular follow-up with a rheumatologist, radiographs of the hands and feet, early initiation and maintenance of disease-modifying anti-rheumatic drug (DMARD) therapy, periodic assessment of disease activity, screening for drug safety and comorbidities, including viral hepatitis and tuberculosis before biologic DMARD therapy, periodic laboratory testing, supplementation with folic acid, assessment of the risk for cervical spine instability before general anesthesia, patient education, and specialized nurse.

Conclusion: These QIs can be used to assess and improve the quality of health care for patients with RA.

Keywords: Arthritis, Rheumatoid; Disease Management; Quality Indicators, Health Care; Quality of Health Care.

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Conflict of interest statement

The authors have no potential conflicts of interest to disclose.

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