title: Patient-centred care in established rheumatoid arthritis.
abstract: Review of the evidence on patient-centred care (PCC) in rheumatoid arthritis (RA) shows that involving the patient as an individual - with unique needs, concerns and preferences - has a relevant impact on treatment outcomes (safety, effectiveness and costs). This approach empowers patients to take personal responsibility for their treatment. Because clinicians are only able to interact personally with their patients just a few hours per year, patients with a chronic condition such as RA should be actively involved in the management of their disease. To stimulate this active role, five different PCC activities can be distinguished: (1) patient education, (2) patient involvement/shared decision-making, (3) patient empowerment/self-management, (4) involvement of family and friends and (5) physical and emotional support. This article reviews the existing knowledge on these five PCC activities in the context of established RA management, especially focused on opportunities to increase medication adherence in established RA.
authors.affiliation: University of Twente, Enschede, The Netherlands. Electronic address: m.j.h.voshaar@utwente.nl.
authors.forename: M J H
authors.initials: MJ
authors.lastname: Voshaar
authors.affiliation: University of Twente, Enschede, The Netherlands. Electronic address: i.nota@utwente.nl.
authors.forename: I
authors.initials: I
authors.lastname: Nota
authors.affiliation: University of Twente, Enschede, The Netherlands; Medisch Spectrum Twente, Enschede, The Netherlands. Electronic address: M.vandeLaar@mst.nl.
authors.forename: M A F J
authors.initials: MA
authors.lastname: van de Laar
authors.affiliation: Department of Pharmacy, Sint Maartenskliniek, Nijmegen, The Netherlands; Department of Pharmacy, Radboud University Medical Center, Nijmegen, The Netherlands. Electronic address: b.vandenbemt@maartenskliniek.nl.
authors.forename: B J F
authors.initials: BJ
authors.lastname: van den Bemt
mesh_terms: D001172:Arthritis, Rheumatoid / Q000628:therapy*; D002908:Chronic Disease; D003657:Decision Making; D004644:Emotions; D006801:Humans; D055118:Medication Adherence; D010353:Patient Education as Topic; D010358:Patient Participation; D018802:Patient-Centered Care; D012648:Self Care; D012944:Social Support
keywords: Medication adherence; Patient education; Patient empowerment; Patient-centred care; Rheumatoid arthritis; Self-management; Shared decision-making