Longterm health outcomes of patients with rheumatoid arthritis treated in managed care and fee-for-service practice settings

Michael M. Ward, Deborah Lubeck, J Paul Leigh

Research output: Contribution to journalArticle

33 Scopus citations

Abstract

Objective. To compare health care utilization and longterm health outcomes among patients with rheumatoid arthritis (RA) treated in managed care and fee-for-service practice settings. Methods. We compared levels of health care utilization, treatments, and health outcomes between 57 patients with RA treated predominantly in managed care settings and 125 patients with RA treated predominantly in fee-for-service practice settings. These patients were participants in a community based cohort study of health outcomes in RA, and had been followed prospectively for up to 13 years (mean follow-up 10.3 yrs). Information on physician visits, hospitalizations, diagnostic testing, treatments, and 3 measures of health status (global arthritis status, pain, functional disability measures of the Health Assessment Questionnaire) was collected using biannual mailed questionnaires. Results. All measures of health care utilization were similar between the managed care and fee-for- service groups, as was the use of the major types of arthritis treatments. Average global arthritis status scores, pain scores, and functional disability scores were closely comparable in the 2 groups. Over time, global arthritis status scores and disability scores worsened in both groups, but the rates of worsening did not differ between groups. Conclusion. In this cohort, longterm health outcomes, as well as treatments and health care utilization, were similar among persons with RA who were treated in managed care and fee-for-service practice settings.

Original languageEnglish (US)
Pages (from-to)641-649
Number of pages9
JournalJournal of Rheumatology
Volume25
Issue number4
StatePublished - Apr 1998
Externally publishedYes

Keywords

  • Managed care
  • Quality of care
  • Rheumatoid arthritis

ASJC Scopus subject areas

  • Rheumatology
  • Immunology

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