Document Detail

Experiences of Healthcare Provision for Foot Ulceration Occurring in People with Rheumatoid Arthritis.
MedLine Citation:
PMID:  23027645     Owner:  NLM     Status:  Publisher    
BACKGROUND: Participants with rheumatoid arthritis (RA) report that foot ulceration has an impact on their health-related quality of life (HRQL) across physical, social and psychological domains. What is not known is how experiences of healthcare provision influence HRQL. The present study set out to map the patent journey while integrating the impact on HRQL. METHODS: A purposive sample of RA patients with open foot ulceration was recruited from podiatry clinics in West Yorkshire (UK) between May 2008 and June 2009. Patients with diabetes were excluded (the impact of foot ulceration in this group is well established). In-depth interviews were taped and transcribed. A framework approach to data management was used to facilitate a case- and theme-based analysis. RESULTS: Twenty-three RA patients (18 female, five male; aged 45-88 years) participated. Two themes and five sub-themes were identified. The patient journey theme comprised the following sub-themes: access to care; knowledge acquisition; care pathways and continuity of care. Patient-professional relationships comprised the sub-themes: therapeutic patient-professional relationships and task-orientated care. The journey took a highly variable course that was influenced by patient-specific factors (past experience of ulceration; symptomology; knowledge and self-efficacy); service-specific factors (access to care and care pathways) and professional-specific factors (knowing and trusting someone; holism). CONCLUSIONS: The present study highlights the need for clearer care pathways for patients affected by foot ulceration improved patient education and better coordination of care. Copyright © 2012 John Wiley & Sons, Ltd.
Jill Firth; Andrea Nelson; Michelle Briggs; Claudia Gorecki
Related Documents :
7777405 - Facilitating continuity of care. the role of the patient care coordinator.
23480405 - Improving wait times and patient satisfaction in primary care.
24689405 - Starting out - fundamental care makes all the difference in easing the anguish.
8692615 - Practice variations by population: training significance.
23496975 - Nutritional status among older residents with dementia in open versus special care unit...
10587835 - Diabetes management in a health maintenance organization. efficacy of care management u...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-2
Journal Detail:
Title:  Musculoskeletal care     Volume:  -     ISSN:  1557-0681     ISO Abbreviation:  Musculoskeletal Care     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101181344     Medline TA:  Musculoskeletal Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 John Wiley & Sons, Ltd.
Pennine Musculoskeletal Partnership Ltd, Oldham, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  All-in-Fiber Chemical Sensing.
Next Document:  Participant characteristics and study features associated with high retention rates in a longitudina...