International Journal Of Occupational Health and Public Health Nursing

Prospective Study of Case Management and Patient Compliance in Moderate to Severe Rheumatoid Arthritis

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• Abstract 

  There is a big gap between best care and usual care in Rheumatoid Arthritis (RA). In particular, poor patient compliance of Rheumatoid Arthritis remains a significant problem in medicine; it is inadequately addressed and the cause of a care gap.  About half of all patients with Rheumatoid Arthritis stop refilling prescriptions or make return visits after one year.  Several effective interventions are available and adaptations of clinical trial practices offer promise for further improvement. Especially, the case management model is very effective. The aim of this study was to investigate the effects of patient compliance with moderate to severe rheumatoid arthritis. This study aims to explore the changes in patient compliance behavior following case management and related key factors. A total of 267 patients with Rheumatoid Arthritis from a medical center were enrolled and surveyed in this study. Data were collected via survey questionnaires filled out by patients after six months of case management related to patient compliance. The results of the study have shown that the adoption of the case management model had a significant effect on patient compliance (P <0.01). This paper has reviewed the scope and causation of sub-optimal compliance, and evaluated improvement strategies and exploration of a best-practice benchmark. As a whole, the results of this study are expected to provide reference for clinical medical professionals.

  Keywords: Rheumatoid Arthritis (RA), Case Management, Patient Compliance.