Health-care use by rheumatoid arthritis patients compared with non-arthritic subjects.
ABSTRACT To compare the use of health-care by rheumatoid arthritis (RA) patients and non-arthritic subjects (NA) and to look for factors determining their patterns of health-care use.
A multicentre cohort of 223 RA and 446 NA subjects matched for age, gender, period of data collection and residence were questioned about their use of health-care services. Patterns of health-care use were identified by principal components analysis. Factors determining the use of health-care services were assessed by multiple linear and logistic regression analysis.
The proportions of RA subjects who declared having had at least one contact with the health-care system in the previous 12 months and in the previous 4 weeks were higher than those for NA subjects for all health and social professionals except dentists and homeopaths. Types of health-care use explored were hospital, prescribed, general ambulatory and specialized ambulatory care. Factors determining health-care use were disease status, administrative area, employment status and age.
RA subjects use health-care services more widely than NA subjects. Variation in recourse behaviour is related to differences within administrative areas.
Article: Volunteering in the developing world: The 2003-2004 Sterling Bunnell Traveling Fellowship to Honduras and Cambodia.[show abstract] [hide abstract]
ABSTRACT: One of the goals of my Sterling Bunnell Traveling Fellowship, sponsored by the American Society for Surgery of the Hand and the American Foundation for Surgery of the Hand, was to serve the poor in developing countries. I had the unique opportunities to work in Honduras and Cambodia, 2 countries with rich cultural heritage residing at opposite ends of the world. This report describes my observations and my experiences in these 2 countries.The Journal Of Hand Surgery 12/2004; 29(6):987-93. · 1.35 Impact Factor