title: [The regional network ADAPTHERA : Rheumatology care through coordinated cooperation: comprehensive, trans-sectoral, covering all health insurance. Initial results].
abstract: The aim of the rheumatology network ADAPTHERA ("risk-adapted rheumatology therapy") is to achieve a comprehensive improvement in rheumatology care by coordinating treatment in a regional, trans-sectoral network. Accompanying biomedical research projects, training concepts, and the construction of a rheumatology register (gathering data and biomaterials) should furthermore ensure the stable and sustainable optimisation of care. In the pilot phase (2012-2015) the focus of the ADAPTHERA network, required as a "regional key project" within the framework of the Initiative on Health Economy of Rheinland-Palatinate (RL-P), Germany, was placed on the optimisation of the early diagnosis of rheumatoid arthritis, where it is well-known that there is a significant care deficit.Through the intensive, stable, and coordinated cooperation of all health care partners in the field of rheumatology (registered general practitioners and orthopaedic specialists, registered core rheumatologists as well as the Association of Rheumatology of RL-P) a unique regional, comprehensive offer with verifiable care optimisation has been established in RL-P. The network is supported by outstanding collaboration with the Association of Statutory Health Insurance Physicians and the self-help organisation Rheumatology League.The aims that were established at the start of the project will be achieved by the end of the pilot phase:- significant improvement in the early diagnosis of rheumatoid arthritis (an average of 23.7 days until diagnosis by rheumatologists)- access covering all health insurance (regardless of the particular scheme the patients belong to)- comprehensive (verifiable participation of general practitioners from all over RL-P)- data and biomaterials collection, established as a basis for biomarker research, and a rheumatology register for RL-P.
authors.affiliation: Schwerpunkt Rheumatologie und klinische Immunologie, Universitätsmedizin Mainz, Mainz, Deutschland. schwarting@uni-mainz.de.|ACURA Rheumazentrum Rheinland-Pfalz, Bad Kreuznach, Deutschland. schwarting@uni-mainz.de.
authors.forename: A
authors.initials: A
authors.lastname: Schwarting
authors.affiliation: ACURA Rheumazentrum Rheinland-Pfalz, Bad Kreuznach, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Pfeiff
authors.affiliation: Rheumatologische Schwerpunktpraxis, Bad Neuenahr, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Amberger
authors.affiliation: Rheumatologische Schwerpunktpraxis, Bad Neuenahr, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Pick
authors.affiliation: Rheumatologische Schwerpunktpraxis, Bad Kreuznach, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Hesse
authors.affiliation: Rheumatologische Schwerpunktpraxis, Kaiserslautern, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Jendro
authors.affiliation: Rheumatologische Schwerpunktpraxis, Koblenz, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Engels
authors.affiliation: Rheumatologische Schwerpunktpraxis, Landau, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Böttger
authors.affiliation: Rheumatologische Schwerpunktpraxis, Mainz, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Kuhn
authors.affiliation: , Mainz, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Majdandzic
authors.affiliation: Rheumatologische Schwerpunktpraxis, Trier, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Ziese
authors.affiliation: Rheumatologische Schwerpunktpraxis, Wittlich, Deutschland.
authors.forename: M-L
authors.initials: ML
authors.lastname: Stadelmann
authors.affiliation: Rheumatologische Schwerpunktpraxis, Niederbrombach, Deutschland.
authors.forename: F W
authors.initials: FW
authors.lastname: Kessler
authors.affiliation: Rheuma-Orthopädie, Westpfalz-Klinikum, Kusel, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Dinges
authors.affiliation: Kassenärztliche Vereinigung Rheinland-Pfalz, Mainz, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Ultes-Kaiser
authors.affiliation: Deutsche RheumaLiga - Landesverband Rheinland-Pfalz e.V., Bad Kreuznach, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Droste
authors.affiliation: Deutsche RheumaLiga - Landesverband Rheinland-Pfalz e.V., Bad Kreuznach, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Schmalhofer
authors.affiliation: Schwerpunkt Rheumatologie und klinische Immunologie, Universitätsmedizin Mainz, Mainz, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Hazenbiller
authors.affiliation: ACURA Rheumazentrum Rheinland-Pfalz, Bad Kreuznach, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Rector
authors.affiliation: Schwerpunkt Rheumatologie und klinische Immunologie, Universitätsmedizin Mainz, Mainz, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Weinmann-Menke
authors.affiliation: ACURA Rheumazentrum Rheinland-Pfalz, Bad Kreuznach, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Triantafyllias
authors.affiliation: Schwerpunkt Rheumatologie und klinische Immunologie, Universitätsmedizin Mainz, Mainz, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Becker
authors.affiliation: German Cancer Research Center (DKFZ), Department of Medical Informatics in Translational Oncology, Heidelberg, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Ataian
authors.affiliation: German Cancer Research Center (DKFZ), Department of Medical Informatics in Translational Oncology, Heidelberg, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Lablans
authors.affiliation: German Cancer Research Center (DKFZ), Department of Medical Informatics in Translational Oncology, Heidelberg, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Ueckert
authors.affiliation: Institut für Medizinische Biometrie, Epidemiologie und Informatik, Universitätsmedizin Mainz, Mainz, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Panholzer
authors.affiliation: Institut für Medizinische Biometrie, Epidemiologie und Informatik, Universitätsmedizin Mainz, Mainz, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Blettner
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D009313:National Health Programs / Q000458:organization & administration*; D012041:Regional Medical Programs / Q000458:organization & administration*; D012042:Registries; D012216:Rheumatic Diseases / Q000175:diagnosis* / Q000628:therapy*; D012219:Rheumatology / Q000458:organization & administration*
keywords: Coordinated treatment; Early diagnosis; Rheumatology care; Rheumatology network; Rheumatology register