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Báo cáo y học: "Preventive health services for systemic lupus erythematosus patients: whose job is it"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Preventive health services for systemic lupus erythematosus patients: whose job is it? | Burgos and Alarcón Arthritis Research Therapy 2010 12 124 http arthritis-research.eom content 12 3 124 EDITORIAL L_ Preventive health services for systemic lupus erythematosus patients whose job is it Paula I Burgos1 2 and Graciela S Alarcón 1 See related research by Yazdany etal. http arthritis-research.Com content 12 3 R84 Abstract Apropos of the article about preventive health care for patients with systemic lupus erythematosus in this issue of Arthritis Research Therapy we offer some thoughts about how best to delineate the roles of the specialist rheumatologist and the generalist in the provision of services to these patients. Even in the best circumstances these services are now provided at a rate that is less than optimal. We also offer a point about empowering patients to become vigilant about their own care. Over the last few decades the survival of patients with systemic lupus erythematosus SLE has improved dramatically. With these patients living longer medical care has moved from merely treating the primary condition of the patient to a comprehensive approach that includes the provision of preventive services. How good we are at providing these services and who is responsible for providing them the specialist as opposed to the generalist have not been previously addressed. Lupus-related problems that need to be addressed without delay and the limited time allowed per patient visit may curtail the ability of the specialist to provide such services. But poor communication with the specialist may limit the generalist in providing these services particularly if the latter assumes incorrectly that all health-related issues preventive services included are being taken care of by the former. Such assumptions are not uncommon in a less-than-ideal and oftentimes fragmented health care system such as the one we currently have in the US. Correspondence graciela.alarcon@ccc.uab.edu Civision of Clinical Immunology and Rheumatology The University of Alabama