Effectiveness of an Integrated XXXX Outpatient Program versus Outpatient Clinic as Usual: A Randomized Controlled Trial.

@entity1 @entity571 @entity158
OBJECTIVE: @entity571 ( @entity571 ) is one of the leading causes of @entity158 and disability. Given the constraint in the provision of care, there is a need to develop and assess effectiveness of new treatment models. The objective was to compare satisfaction with and effectiveness of a new integrated multidisciplinary outpatient program with usual care in an outpatient clinic for @entity1 with @entity571 . METHODS: @entity1 with clinical @entity571 referred to a rheumatology outpatient clinic were randomized to a 3.5-h multidisciplinary group-based educational program followed by individual consultations, or to usual care. The primary outcome was satisfaction with the health service evaluated on a numerical rating scale (0 = extremely unsatisfied, 10 = extremely satisfied) after 4 months. Secondary outcomes included health-related quality of life measures. RESULTS: Of 391 @entity1 , 86.4% (n = 338) were @entity1 , and mean age was 61.2 (SD 8.0) years. At 4 months, @entity1 who received integrated multidisciplinary care were significantly more satisfied with the health service compared with controls, with a mean difference of -1.05 (95% CI -1.68 to -0.43, p < 0.001). Among secondary outcomes, only self-efficacy with other symptoms scale (10-100) improved significantly in the multidisciplinary group compared with controls at 4 months (3.59, 95% CI 0.69-6.5, p = 0.02). At 12 months, the Australian/Canadian @entity571 Index @entity158 (0-10) were slightly worse in the multidisciplinary group with differences of 0.38 (95% CI 0.06-0.71, p = 0.02) and 0.55 (95% CI 0.02-1.07, p = 0.04), respectively. CONCLUSION: @entity1 receiving an integrated multidisciplinary care model were more satisfied with healthcare than those receiving usual care, whereas there were no clinically relevant improvements in health outcomes.
