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:The delivery of evidence-based preventive care for older Americans with arthritis. | Curtis et al. Arthritis Research Therapy 2010 12 R144 http content 12 4 R144 RESEARCH ARTICLE Open Access The delivery of evidence-based preventive care for older Americans with arthritis 2 12 3 4 Jeffrey R Curtis Tarun Arora Pongthorn Narongroeknawin Allison Taylor Clifton O Bingham III Jack Cush Kenneth G Saag1 2 Monika Safford5 Elizabeth Delzell2 Abstract Introduction Previous research suggests patients with rheumatoid arthritis RA may receive suboptimal care with respect to preventive tests and services. We evaluated the proportion of older Americans with RA psoriatic arthritis PsA and osteoarthritis OA receiving these services and the specialty of the providers delivering this care. Methods Using data from 1999 to 2006 from the Medicare Chronic Conditions Warehouse we identified persons age 65 in the national 5 sample. Over the required five-year observation period we identified tests and services recommended for older adults and the associated healthcare provider. Services of interest included dual energy x-ray absorptiometry DXA influenza and pneumococcal vaccination hyperlipidemia lab testing mammography and colonoscopy. Results After accounting for the sampling fraction we identified 141 140 RA 6 300 PsA and 770 520 OA patients eligible for analysis. Over five years a majority of RA PsA and OA patients were tested for hyperlipidemia 84 89 and 87 respectively and received DXA 69 75 and 52 . Only approximately one-third of arthritis patients received pneumococcal vaccination 19 to 22 received influenza vaccination each year. Approximately 20 to 35 of arthritis patients never underwent mammography and colonoscopy over five years. Concomitant care from both a rheumatologist and a primary care physician was significantly associated with a greater likelihood of receiving almost all preventive tests and services. Conclusions Among older Americans on Medicare the absolute proportion of persons with arthritis receiving various recommended
