Unmet demands for health care among patients with rheumatoid arthritis: Indications for underuse?
Article first published online: 3 JUN 2004
Copyright © 2004 by the American College of Rheumatology
Arthritis Care & Research
Volume 51, Issue 3, pages 440–446, 15 June 2004
How to Cite
Jacobi, C. E., Rupp, I., Boshuizen, H. C., Triemstra, M., Dinant, H. J. and Van Den Bos, G. A. M. (2004), Unmet demands for health care among patients with rheumatoid arthritis: Indications for underuse?. Arthritis & Rheumatism, 51: 440–446. doi: 10.1002/art.20391
- Issue published online: 3 JUN 2004
- Article first published online: 3 JUN 2004
- Manuscript Accepted: 16 JUN 2003
- Manuscript Received: 17 MAR 2003
- the Netherlands Organization for Health Research and Development – Medical Sciences (ZON-MW)
- Dutch Arthritis Association (Nationaal Reumafonds)
- Health care use;
- Unmet demands;
- Rheumatoid arthritis;
- Underuse of health care
To assess the prevalence of unmet health care demands among rheumatoid arthritis (RA) patients, and to determine if these unmet demands indicate underuse.
A total of 679 patients with RA participated in a questionnaire survey and clinical examination. Unmet health care demands and health care use were assessed for orthopedic care, allied health care, home care, and psychosocial care. Indications for underuse were determined by comparing health outcomes of patients with unmet health care demands and of health care users.
Of the 679 patients, 28.7% had an unmet demand for 1 of the 4 services: 13.4% for allied health care, 9.7% for orthopedic care, 9.4% for home care, and 6.2% for psychosocial care. Underuse of allied health care, home care and psychosocial care was observed.
Unmet demands for health care are frequent among RA patients. Most unmet demands indicate underuse. Health care professionals should therefore be more responsive to the demands of patients.