eHealth-supported decentralized multi-disciplinary care for gout involving rheumatology, pharmacy, and dietetics: proof-of-concept study.
Alyssa HowrenNicole W TsaoHyon K ChoiKam ShojaniaAlison KyddRussell FriesenJ Antonio Avina-ZubietaMary A De VeraPublished in: Clinical rheumatology (2019)
Our multi-method study shows that a decentralized, multi-disciplinary care for gout involving rheumatology, pharmacy, and dietetics with shared EMR access led to gout patients achieving target SUA. It was well-received by patients who perceived better education about gout and personalized care.Key Points• We demonstrated the feasibility and impact of an eHealth-supported, decentralized collaborative care model for gout involving rheumatology, pharmacy, and dietetics• Although prior multi-disciplinary models of care for gout have been reported, the novelty of our model is that healthcare providers are not co-located, lending to potential efficiencies and outreach to patients in rural areas.
Keyphrases
- healthcare
- quality improvement
- uric acid
- palliative care
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- pain management
- peritoneal dialysis
- juvenile idiopathic arthritis
- depressive symptoms
- rheumatoid arthritis
- physical activity
- chronic pain
- risk assessment
- mental health
- patient reported outcomes
- disease activity