Evidence suggesting that health education for self‐management in patients with chronic arthritis has sustained health benefits while reducing health care costs
Objective. To determine the effects of the Arthritis Self‐Management Program 4 years after participation in it. Methods. Valid self‐administered instruments were used to measure health status, psychological states, and health service utilization. Results. Pain had declined a mean of 20% and visits t...
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Veröffentlicht in: | Arthritis and rheumatism 1993-04, Vol.36 (4), p.439-446 |
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container_title | Arthritis and rheumatism |
container_volume | 36 |
creator | Lorig, Kate R. Mazonson, Peter D. Holman, Halsted R. |
description | Objective. To determine the effects of the Arthritis Self‐Management Program 4 years after participation in it.
Methods. Valid self‐administered instruments were used to measure health status, psychological states, and health service utilization.
Results. Pain had declined a mean of 20% and visits to physicians 40%, while physical disability had increased 9%. Comparison groups did not show similar changes. Estimated 4‐year savings were $648 per rheumatoid arthritis patient and $189 per osteoarthritis patient.
Conclusion. Health education in chronic arthritis may add significant and sustained benefits to conventional therapy while reducing costs. |
doi_str_mv | 10.1002/art.1780360403 |
format | Article |
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Methods. Valid self‐administered instruments were used to measure health status, psychological states, and health service utilization.
Results. Pain had declined a mean of 20% and visits to physicians 40%, while physical disability had increased 9%. Comparison groups did not show similar changes. Estimated 4‐year savings were $648 per rheumatoid arthritis patient and $189 per osteoarthritis patient.
Conclusion. Health education in chronic arthritis may add significant and sustained benefits to conventional therapy while reducing costs.</description><identifier>ISSN: 0004-3591</identifier><identifier>EISSN: 1529-0131</identifier><identifier>DOI: 10.1002/art.1780360403</identifier><identifier>PMID: 8457219</identifier><identifier>CODEN: ARHEAW</identifier><language>eng</language><publisher>New York: John Wiley & Sons, Inc</publisher><subject>Aged ; Arthritis, Rheumatoid - economics ; Arthritis, Rheumatoid - therapy ; Biological and medical sciences ; Chronic Disease ; Diseases of the osteoarticular system ; Female ; Health Care Costs ; Health Education ; Health Status ; Humans ; Inflammatory joint diseases ; Insurance Benefits ; Male ; Medical sciences ; Middle Aged ; Osteoarthritis - economics ; Osteoarthritis - therapy ; Self Care - statistics & numerical data</subject><ispartof>Arthritis and rheumatism, 1993-04, Vol.36 (4), p.439-446</ispartof><rights>Copyright © 1993 American College of Rheumatology</rights><rights>1993 INIST-CNRS</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4093-573ed666a4bf5be1a082832b6363f0a31fca83ff929a765a5b046011d23f4a763</citedby><cites>FETCH-LOGICAL-c4093-573ed666a4bf5be1a082832b6363f0a31fca83ff929a765a5b046011d23f4a763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fart.1780360403$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fart.1780360403$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4679257$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8457219$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lorig, Kate R.</creatorcontrib><creatorcontrib>Mazonson, Peter D.</creatorcontrib><creatorcontrib>Holman, Halsted R.</creatorcontrib><title>Evidence suggesting that health education for self‐management in patients with chronic arthritis has sustained health benefits while reducing health care costs</title><title>Arthritis and rheumatism</title><addtitle>Arthritis Rheum</addtitle><description>Objective. To determine the effects of the Arthritis Self‐Management Program 4 years after participation in it.
Methods. Valid self‐administered instruments were used to measure health status, psychological states, and health service utilization.
Results. Pain had declined a mean of 20% and visits to physicians 40%, while physical disability had increased 9%. Comparison groups did not show similar changes. Estimated 4‐year savings were $648 per rheumatoid arthritis patient and $189 per osteoarthritis patient.
Conclusion. Health education in chronic arthritis may add significant and sustained benefits to conventional therapy while reducing costs.</description><subject>Aged</subject><subject>Arthritis, Rheumatoid - economics</subject><subject>Arthritis, Rheumatoid - therapy</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Health Care Costs</subject><subject>Health Education</subject><subject>Health Status</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Insurance Benefits</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Osteoarthritis - economics</subject><subject>Osteoarthritis - therapy</subject><subject>Self Care - statistics & numerical data</subject><issn>0004-3591</issn><issn>1529-0131</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUctu1DAUtRCoDANbdkheIHYZ_IqTLKuqFKRKSKisoxvnemKUOIPtUHXXT-AX-LV-CR5NKOxY-XHOPefeewh5zdmOMybeQ0g7XtVMaqaYfEI2vBRNwbjkT8mGMaYKWTb8OXkR47f8FLKUZ-SsVmUleLMhvy5_uB69QRqX_R5jcn5P0wCJDghjGij2i4HkZk_tHGjE0T7c_5zAwx4n9Ik6Tw8Zz9dIb10uMEOYvTM0NzYEl1ykA8SsHhM4j_0f3Q49WncsGtyINBx9jt4rbCAgNXNM8SV5ZmGM-Go9t-Trh8ubi4_F9eerTxfn14VRrJFFWUnstdagOlt2yIHVopai01JLy0Bya6CW1jaigUqXUHZMacZ5L6RV-UduybuT7iHM35e8iXZy0eA4gsd5iW1ValVXXGXi7kQ0YY4xoG0PwU0Q7lrO2mMmbR69_ZtJLnizKi_dhP0jfQ0h429XHKKB0QbwxsVHmtJVI_J4W9KcaLd5YXf_MW3Pv9z808Jv6Tqpmw</recordid><startdate>199304</startdate><enddate>199304</enddate><creator>Lorig, Kate R.</creator><creator>Mazonson, Peter D.</creator><creator>Holman, Halsted R.</creator><general>John Wiley & Sons, Inc</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199304</creationdate><title>Evidence suggesting that health education for self‐management in patients with chronic arthritis has sustained health benefits while reducing health care costs</title><author>Lorig, Kate R. ; Mazonson, Peter D. ; Holman, Halsted R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4093-573ed666a4bf5be1a082832b6363f0a31fca83ff929a765a5b046011d23f4a763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Aged</topic><topic>Arthritis, Rheumatoid - economics</topic><topic>Arthritis, Rheumatoid - therapy</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Health Care Costs</topic><topic>Health Education</topic><topic>Health Status</topic><topic>Humans</topic><topic>Inflammatory joint diseases</topic><topic>Insurance Benefits</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Osteoarthritis - economics</topic><topic>Osteoarthritis - therapy</topic><topic>Self Care - statistics & numerical data</topic><toplevel>online_resources</toplevel><creatorcontrib>Lorig, Kate R.</creatorcontrib><creatorcontrib>Mazonson, Peter D.</creatorcontrib><creatorcontrib>Holman, Halsted R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthritis and rheumatism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lorig, Kate R.</au><au>Mazonson, Peter D.</au><au>Holman, Halsted R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evidence suggesting that health education for self‐management in patients with chronic arthritis has sustained health benefits while reducing health care costs</atitle><jtitle>Arthritis and rheumatism</jtitle><addtitle>Arthritis Rheum</addtitle><date>1993-04</date><risdate>1993</risdate><volume>36</volume><issue>4</issue><spage>439</spage><epage>446</epage><pages>439-446</pages><issn>0004-3591</issn><eissn>1529-0131</eissn><coden>ARHEAW</coden><abstract>Objective. To determine the effects of the Arthritis Self‐Management Program 4 years after participation in it.
Methods. Valid self‐administered instruments were used to measure health status, psychological states, and health service utilization.
Results. Pain had declined a mean of 20% and visits to physicians 40%, while physical disability had increased 9%. Comparison groups did not show similar changes. Estimated 4‐year savings were $648 per rheumatoid arthritis patient and $189 per osteoarthritis patient.
Conclusion. Health education in chronic arthritis may add significant and sustained benefits to conventional therapy while reducing costs.</abstract><cop>New York</cop><pub>John Wiley & Sons, Inc</pub><pmid>8457219</pmid><doi>10.1002/art.1780360403</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Wiley Online Library All Journals; Alma/SFX Local Collection |
subjects | Aged Arthritis, Rheumatoid - economics Arthritis, Rheumatoid - therapy Biological and medical sciences Chronic Disease Diseases of the osteoarticular system Female Health Care Costs Health Education Health Status Humans Inflammatory joint diseases Insurance Benefits Male Medical sciences Middle Aged Osteoarthritis - economics Osteoarthritis - therapy Self Care - statistics & numerical data |
title | Evidence suggesting that health education for self‐management in patients with chronic arthritis has sustained health benefits while reducing health care costs |
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