Portal de Periódicos da CAPES

Multidisciplinary Care Models for Patients With Psoriatic Arthritis

2017; Elsevier BV; Volume: 13; Issue: 2 Linguagem: Inglês

10.1016/j.reumae.2016.03.007

2173-5743

Rubén Queiró, Pablo Coto, Jesús Rodríguez, Jaume Notario, Teresa Navío Marco, P. de la Cueva, Manel Pujol Busquets, Mercè García Font, Beatriz Joven, R. Rivera, José Luis Álvarez Vega, Antonio Javier Chaves Álvarez, Ricardo Sánchez Parera, José Carlos Ruiz Carrascosa, Fernando José Rodríguez Martínez, José Pardo Sánchez, C. Feced Olmos, Conrad Pujol, E. Galíndez, Silvia Pérez Barrio, Ana Arana, Mercedes Hergueta, Jesús Luelmo, Jordi Gratacós,

Therapeutic Uses of Natural Elements

To describe (structure, processes) of the multidisciplinary care models in psoriatic arthritis (PsA) in Spain, as well as barriers and facilitators of their implementation.A qualitative study was performed following structured interviews with 24 professionals (12 rheumatologists, 12 dermatologists who provide multidisciplinary care for patients with PsA). We collected data related to the hospital, department, population and multidisciplinary care model (type, physical and human resources, professional requirements, objectives, referral criteria, agendas, protocols, responsibilities, decision- making, research and education, clinical sessions, development and planning of the model, advantages and disadvantages of the model, barriers and facilitators in the implementation of the model. The models characteristics are described.We analyzed 12 multidisciplinary care models in PsA, with at least 1-2 years of experience, and 3 subtypes of models, face-to-face, parallel, and preferential circuit. All are adapted to the hospital and professionals characteristics. A proper implementation planning is essential. The involvement and empathy between professionals and an access and well-defined referral criteria are important facilitators in the implementation of a model. The management of agendas and data collection to measure the multidisciplinary care models health outcomes are the main barriers.There are different multidisciplinary care models in PsA that can improve patient outcomes, system efficiency and collaboration between specialists.