… of Services for Adults with Rheumatoid Arthritis PART A: Executive Summary & Summary Table of Recommendations Scottish Public Health Network-July …

… of Services for Adults with Rheumatoid Arthritis PART A: Executive Summary & Summary Table of Recommendations Scottish Public Health Network-July …内容摘要：

Health Care Needs Assessment of Services for Adults with Rheumatoid Arthritis PART A: Executive Summary & Summary Table of Recommendations Scottish Public Health Network - July 2012 1 Table of Contents Preface..........................................................................................................................3 Foreword.......................................................................................................................4 Executive Summary.....................................................................................................5 1 Background...........................................................................................................5 2 Aim of HCNA.........................................................................................................5 3 HCNA Methods......................................................................................................6 4 Scope of HCNA.....................................................................................................6 5 Key Findings.........................................................................................................7 5.1 Early diagnosis and treatment of RA................................................................7 5.2 Chronic disease management........................................................................10 5.3 Access to the multidisciplinary team...............................................................11 5.4 RA drug prescribing........................................................................................11 5.5 Reducing work disability due to RA................................................................13 5.6 Training and staffing needs.............................................................................13 5.7 Audit and monitoring outcomes......................................................................14 5.8 Cost implications.............................................................................................15 6 Links with the NHS Scotland Quality Strategy................................................15 7 Conclusions........................................................................................................16 8 Next Steps...........................................................................................................17 Appendix 1: Summary Table of Recommendations...............................................18 References..................................................................................................................32 2 Preface This report summarises the findings of a health care needs assessment (HCNA) of services for adults with rheumatoid arthritis (RA) in Scotland. This report summarises the conclusions and recommendations from the HCNA and forms Part A of the report. The following reports are also available:  Part B: which describes the epidemiology of RA in Scotland;  Part C: which describes the corporate and comparative elements of the HCNA; and  Part D: which considers the cost implications of developing RA services in Scotland. 3 Foreword I am delighted to present this healthcare needs assessment of services for adults with rheumatoid arthritis. It is the product of many months hard work by many people who are acknowledged in Part C of this report. Rheumatoid arthritis is an important major chronic disease in Scotland and causes considerable pain and disability, affecting many aspects of a person's life. I and those involved in producing this report hope that the information and recommendations contained within it will contribute to the continuous improvement of services for those with rheumatoid arthritis, assisting them to become more personcentred, safe and effective and thereby improving the health and reducing the burden of disease for those affected. Dr Carol Davidson Director of Public Health NHS Ayrshire & Arran Project sponsor and chair 4 Executive Summary 1 Background Rheumatoid arthritis (RA) is one of the major chronic diseases in Scotland and affects an estimated 37,000 Scots.1 It can cause considerable pain and disability, affecting many aspects of a person’s life. It is an important cause of work disability. In 2002, the Public Health Institute for Scotland (PHIS) undertook a needs assessment of rheumatoid arthritis.2 Since then the evidence base and policy context have changed considerably. De