Evidence map›Paper›PMID 30355794›Full record

ArticleBMJ open2018

Protocol for evaluating and implementing a pragmatic value-based healthcare management model for patients with inflammatory arthritis: a Danish population-based regional cohort and qualitative implementation study.

Tanja Schjødt Jørgensen, Jens Jørgen Lykkegaard, Annette Hansen, Heidi Morsø Schrøder, Betina Stampe, Anne-Marie Tetsche Sweeney, Bente Appel Esbensen, Bianca Bech, Katja Christensen, Ellen Friis-Mikkelsen and 8 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 3 countries.

Tanja Schjødt JørgensenThe Parker Institute, Copenhagen University Hospital, Bispebjerg-Frederiksberg, Denmark.
Jens Jørgen LykkegaardCenter for Rheumatology and Spine Diseases, Rigshospitalet, Department of Rheumatology, Copenhagen University Hospital, Glostrup, Denmark.
Annette HansenCenter for Rheumatology and Spine Diseases, Rigshospitalet, Department of Rheumatology, Copenhagen University Hospital, Glostrup, Denmark.
Heidi Morsø SchrøderCenter for Rheumatology and Spine Diseases, Rigshospitalet, Department of Rheumatology, Copenhagen University Hospital, Glostrup, Denmark.
Betina StampeCenter for Rheumatology and Spine Diseases, Rigshospitalet, Department of Rheumatology, Copenhagen University Hospital, Glostrup, Denmark.
Anne-Marie Tetsche SweeneyCenter for Rheumatology and Spine Diseases, Rigshospitalet, Department of Rheumatology, Copenhagen University Hospital, Glostrup, Denmark.
Bente Appel EsbensenCenter for Rheumatology and Spine Diseases, Rigshospitalet, Department of Rheumatology, Copenhagen University Hospital, Glostrup, Denmark.
Bianca BechCenter for Rheumatology and Spine Diseases, Rigshospitalet, Department of Rheumatology, Copenhagen University Hospital, Glostrup, Denmark.
Katja ChristensenCenter for Rheumatology and Spine Diseases, Rigshospitalet, Department of Rheumatology, Copenhagen University Hospital, Glostrup, Denmark.
Ellen Friis-MikkelsenCenter for Rheumatology and Spine Diseases, Rigshospitalet, Department of Rheumatology, Copenhagen University Hospital, Glostrup, Denmark.
Henrik RøgindCenter for Rheumatology and Spine Diseases, Rigshospitalet, Department of Rheumatology, Copenhagen University Hospital, Glostrup, Denmark.
Tine LundbakCenter for Rheumatology and Spine Diseases, Rigshospitalet, Department of Rheumatology, Copenhagen University Hospital, Glostrup, Denmark.
Peter C TaylorBotnar Research Centre, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Ingemar F PeterssonDepartment of Orthopaedics, Clinical Sciences Lund, Lund University, Lund Sweden and Skåne University Hospital, Lund, Sweden.
Eva Ejlersen WæhrensThe Parker Institute, Copenhagen University Hospital, Bispebjerg-Frederiksberg, Denmark.
Jakob KjellbergDanish Institute for Local and Regional Government Research, Copenhagen, Denmark.
Henrik GudbergsenThe Parker Institute, Copenhagen University Hospital, Bispebjerg-Frederiksberg, Denmark.
Lars Erik KristensenThe Parker Institute, Copenhagen University Hospital, Bispebjerg-Frederiksberg, Denmark.
Rigshospitalet · DKCopenhagen University Hospital · DKFrederiksberg Hospital · DKLund University · SENuffield Orthopaedic Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe provision of healthcare for patients with inflammatory arthritis occurs in the context of somewhat conflicting targets, values and drivers. Therefore, there is a need for introducing 'value-based healthcare' defined as the value of patient relevant health outcomes in relation to costs. This term is a central part of tomorrow's healthcare sector, especially for rheumatic diseases, yet the transition is a huge challenge, as it will impact the development, delivery and assessment of healthcare.

aimsThe aim of this study is to compare medical and patient evaluated impact of the traditional settlement and financing production (DAGS) controlled healthcare setting with a value-based and patient-centred adjunctive to standard care. METHODS AND ANALYSIS: Patients with inflammatory arthritis receiving treatment in routine care at the outpatient clinics in the Capital Region of Denmark will prospectively and consecutively be enrolled in a Non-Intervention-Study framework providing a pragmatic value-based management model. A Danish reference cohort, used for comparison will be collected as part of routine clinical care. The enrolment period will be from 1 June 2018 until 31December 2023. Baseline and follow-up visits will be according to routine clinical care. Registry data will be obtained directly from patients and include personal, clinical and outcomes information. The study results will be reported in accordance with the STROBE statement. ETHICS AND DISSEMINATION: The study has been notified to the Danish Data Protection Agency and granted authorisation for the period June 2018 to January 2025 (pending). Informed consent will be obtained from all patients before enrolment in the study. The study is approved by the ethics committee, Capital Region of Denmark (H-18013158). Results of the study will be disseminated through publication in international peer-reviewed journals.

Indexed as

Models, EconomicResearch DesignArthritisClinical ProtocolsCohort StudiesDelivery of Health CareDenmarkHumansQuality ImprovementQuality of Health Carehealth care management modelinflammatory arthritispatient centred valuevalue-based health care

Identifiers

PMID30355794
PMCPMC6224730
OpenAlexW2898415035

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.