Responses

Original research
Strategies for developing and implementing a rheumatoid arthritis healthcare quality framework: a thematic analysis of perspectives from arthritis stakeholders
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

PLEASE NOTE:

  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses [https://authors.bmj.com/after-submitting/rapid-responses/].
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses [https://www.bmj.com/company/journals-terms-and-conditions-for-rapid-responses/] and understand that your personal data will be processed in accordance with those terms and our privacy notice [https://www.bmj.com/company/your-privacy/].
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    Dr. Pedro Santos-Moreno
    • Pedro Santos-Moreno, MD Internist-Rheumatologist, MBA, MSc Biomab IPS - Center for Rheumatoid Arthritis, Bogotá, Colombia
    • Other Contributors:
      • Carlo Caballero-Uribe, MD Internist-Rheumatologist, PhD

    We read with interest paper of Barber C., et al. recently published in your journal about the strategies for developing and implementing a rheumatoid arthritis (RA) healthcare quality framework considering the perspectives from arthritis stakeholders; and rightly, stakeholders advocated for the use of existing healthcare frameworks over frameworks developed in the business world and adapted for healthcare. The authors identified 9 guiding principles for framework development and 13 potential topics for measuring the effectiveness, safety, healthcare efficiency, costs, and quality of care, which in turn should be further developed and established by the interested focus groups of stakeholders. Subsequently, some barriers are raised that may eventually delay the successful implementation of a RA healthcare quality framework. Participants highlighted strategies that were important to ensure effective quality framework implementation and at a system level, financial and political will of decision makers were highlighted as major facilitators.1 The latter is true, but also no less important is the fact that doctors, mainly specialists, "change their chip" and begin to work under the rules that it presupposes within a framework of quality in healthcare, which implies making decisions within a framework of check list type; for example, be adherent to a clinical practice guideline for the diagnosis, follow-up, and treatment of a specific pathology. Finally, clinical mode...

    Show More
    Conflict of Interest:
    None declared.