title: Multidisciplinary Care Models for Patients With Psoriatic Arthritis.
abstract: OBJECTIVE
  To describe (structure, processes) of the multidisciplinary care models in psoriatic arthritis (PsA) in Spain, as well as barriers and facilitators of their implementation.
  
  
  METHODS
  A qualitative study was performed following structured interviews with 24 professionals (12 rheumatologists, 12 dermatologists who provide multidisciplinary care for patients with PsA). We collected data related to the hospital, department, population and multidisciplinary care model (type, physical and human resources, professional requirements, objectives, referral criteria, agendas, protocols, responsibilities, decision- making, research and education, clinical sessions, development and planning of the model, advantages and disadvantages of the model, barriers and facilitators in the implementation of the model. The models characteristics are described.
  
  
  RESULTS
  We analyzed 12 multidisciplinary care models in PsA, with at least 1-2 years of experience, and 3 subtypes of models, face-to-face, parallel, and preferential circuit. All are adapted to the hospital and professionals characteristics. A proper implementation planning is essential. The involvement and empathy between professionals and an access and well-defined referral criteria are important facilitators in the implementation of a model. The management of agendas and data collection to measure the multidisciplinary care models health outcomes are the main barriers.
  
  
  CONCLUSIONS
  There are different multidisciplinary care models in PsA that can improve patient outcomes, system efficiency and collaboration between specialists.
authors.affiliation: Servicio de Reumatología, Hospital Universitario Central de Asturias, Oviedo, España. Electronic address: rubenque7@yahoo.es.
authors.forename: Rubén
authors.initials: R
authors.lastname: Queiro
authors.affiliation: Servicio de Dermatología, Hospital Universitario Central de Asturias, Oviedo, España.
authors.forename: Pablo
authors.initials: P
authors.lastname: Coto
authors.affiliation: Servicio de Reumatología, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Jesús
authors.initials: J
authors.lastname: Rodríguez
authors.affiliation: Servicio de Dermatología, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Jaume
authors.initials: J
authors.lastname: Notario
authors.affiliation: Servicio de Reumatología, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: Teresa
authors.initials: T
authors.lastname: Navío Marco
authors.affiliation: Servicio de Dermatología, Hospital Universitario Infanta Leonor, Madrid, España.
authors.forename: Pablo
authors.initials: P
authors.lastname: de la Cueva
authors.affiliation: Servicio de Reumatología, Hospital Mutua de Terrassa, Terrassa, Barcelona, España.
authors.forename: Manel
authors.initials: M
authors.lastname: Pujol Busquets
authors.affiliation: Servicio de Dermatología, Hospital Mutua de Terrassa, Terrassa, Barcelona, España.
authors.forename: Mercè
authors.initials: M
authors.lastname: García Font
authors.affiliation: Servicio de Reumatología, Hospital Universitario 12 de Octubre, Madrid, España.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Joven
authors.affiliation: Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España.
authors.forename: Raquel
authors.initials: R
authors.lastname: Rivera
authors.affiliation: Servicio de Reumatología, Complejo Hospitalario Universitario Infanta Cristina, Badajoz, España.
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Alvarez Vega
authors.affiliation: Servicio de Dermatología, Complejo Hospitalario Universitario Infanta Cristina, Badajoz, España.
authors.forename: Antonio Javier
authors.initials: AJ
authors.lastname: Chaves Álvarez
authors.affiliation: Servicio de Reumatología, Hospital Universitario San Cecilio, Granada, España.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Sánchez Parera
authors.affiliation: Servicio de Dermatología, Hospital Universitario San Cecilio, Granada, España.
authors.forename: Jose Carlos
authors.initials: JC
authors.lastname: Ruiz Carrascosa
authors.affiliation: Servicio de Reumatología, Hospital General Universitario Santa Lucía, Cartagena, Murcia, España.
authors.forename: Fernando José
authors.initials: FJ
authors.lastname: Rodríguez Martínez
authors.affiliation: Servicio de Dermatología, Hospital General Universitario Santa Lucía, Cartagena, Murcia, España.
authors.forename: José
authors.initials: J
authors.lastname: Pardo Sánchez
authors.affiliation: Servicio de Reumatología, Hospital Universitari i Politècnic La Fe, Valencia, España.
authors.forename: Carlos
authors.initials: C
authors.lastname: Feced Olmos
authors.affiliation: Servicio de Dermatología, Hospital Universitari i Politècnic La Fe, Valencia, España.
authors.forename: Conrad
authors.initials: C
authors.lastname: Pujol
authors.affiliation: Servicio de Reumatología, Hospital de Basurto, Bilbao, Bizkaia, España.
authors.forename: Eva
authors.initials: E
authors.lastname: Galindez
authors.affiliation: Servicio de Dermatología, Hospital de Basurto, Bilbao, Bizkaia, España.
authors.forename: Silvia
authors.initials: S
authors.lastname: Pérez Barrio
authors.affiliation: Servicio de Reumatología, Hospital Can Misses, Ibiza, España.
authors.forename: Ana
authors.initials: A
authors.lastname: Urruticoechea Arana
authors.affiliation: Servicio de Dermatología, Hospital Can Misses, Ibiza, España.
authors.forename: Mercedes
authors.initials: M
authors.lastname: Hergueta
authors.affiliation: Servicio de Dermatología, Corporació Sanitària Parc Taulí de Sabadell, Sabadell, Barcelona, España.
authors.forename: Jesús
authors.initials: J
authors.lastname: Luelmo
authors.affiliation: Servicio de Reumatología, Corporació Sanitària Parc Taulí de Sabadell, Sabadell, Barcelona, España.
authors.forename: Jordi
authors.initials: J
authors.lastname: Gratacós
mesh_terms: D015535:Arthritis, Psoriatic / Q000628:therapy*; D001291:Attitude of Health Personnel; D003880:Dermatology / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D033183:Interdisciplinary Communication; D007407:Interviews as Topic; D017146:Models, Organizational; D010348:Patient Care Team / Q000458:organization & administration*; D017064:Process Assessment, Health Care; D036301:Qualitative Research; D011787:Quality of Health Care / Q000458:organization & administration; D012219:Rheumatology / Q000379:methods / Q000458:organization & administration*; D013030:Spain
keywords: Artritis psoriásica; Atención multidisciplinar; Multidisciplinary care; Psoriasis; Psoriatic arthritis