Systematic and progressive implementation of the centers of excellence for rheumatoid arthritis: a methodological proposal

Clin Rheumatol. 2017 Dec;36(12):2855-2858. doi: 10.1007/s10067-017-3790-7. Epub 2017 Aug 24.

Abstract

The implementation of excellence centers in specific diseases has been gaining recognition in the field of health; specifically in rheumatoid arthritis, where the prognosis of the disease is related to an early diagnosis and a timely intervention, it is necessary that the provision of health services is developed in an environment of quality, opportunity, and safety with the highest standards of care. A methodology that allows this implementation in such a way that is achievable by the most of the care centers is a priority to achieve a better attention to populations with this disease. In this paper, we propose a systematic and progressive methodology that will help all the institutions to develop successful models without faltering in the process. The expected impact on public health is defined by a better effective coverage of high-quality treatments, obtaining better health outcomes with safety and accessibility that reduces the budgetary impact for the health systems of our countries.

Keywords: Centers of excellence; Comprehensive patient care; Health care quality; Rheumatoid arthritis.

MeSH terms

  • Arthritis, Rheumatoid / diagnosis
  • Arthritis, Rheumatoid / therapy*
  • Humans
  • Quality of Health Care*
  • Rheumatology / standards*