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Strategies for developing and implementing a rheumatoid arthritis healthcare quality framework: a thematic analysis of perspectives from arthritis stakeholders
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  • 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...

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    Conflict of Interest:
    None declared.