Value-Based Healthcare in Rheumatology: Axial Spondyloarthritis and Beyond.
David F L LiewJonathan DauPhilip C RobinsonPublished in: Current rheumatology reports (2021)
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.
Keyphrases
- healthcare
- end stage renal disease
- magnetic resonance imaging
- ejection fraction
- newly diagnosed
- chronic kidney disease
- quality improvement
- palliative care
- prognostic factors
- primary care
- peritoneal dialysis
- computed tomography
- type diabetes
- metabolic syndrome
- emergency department
- patient reported outcomes
- affordable care act
- electronic health record
- weight loss
- diffusion weighted imaging