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      <dc:title>Provision of care services for rheumatic and musculoskeletal diseases-related foot and ankle problems: a survey from sixteen european countries</dc:title>
      <dc:creator>Alcacer-Pitarch, Begonya</dc:creator>
      <dc:creator>Backhouse, Michael</dc:creator>
      <dc:creator>Gijón-Noguerón, Gabriel</dc:creator>
      <dc:creator>Biscontini, Devid</dc:creator>
      <dc:creator>Foot &amp; Ankle Study Group</dc:creator>
      <dc:subject>Reumatología</dc:subject>
      <dc:description>DOI:10.1136/annrheumdis-2016-eular.4435</dc:description>
      <dc:description>Background: The increased prevalence of foot and ankle pathologies in Rheumatic and Musculoskeletal diseases (RMDs) is well documented1, however the provision of foot &amp; ankle (F&amp;A) healthcare services for people with RMDs in Europe has not been evaluated.&#xd;
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Objectives: To assess the current healthcare systems for providing foot &amp; ankle healthcare services for people with RMDs in Europe.&#xd;
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Methods: A survey was undertaken to evaluate current provision of F&amp;A health care services for people with RMDs across Europe. A questionnaire was distributed to all 22 country presidents representing HP associations within EULAR. The questionnaire used was developed and piloted (in 7 countries) by the EULAR F&amp;A Study Group, and structured to capture the provision and type of F&amp;A services for people with RMDs. When the HP presidents felt unable to answer specific questions they were encouraged to consult a colleague who may be better placed to provide the answers.  &#xd;
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Results: Sixteen questionnaires were completed (Norway, Ireland, Sweden, Hungary, Netherlands, UK, Denmark, Portugal, Italy, Switzerland, Austria, France, Czech Republic, Spain, Belgium, Malta). Of the 16, 13 respondents indicated provision of F&amp;A health care services in their country, but only three countries had services specialising in RMD-related F&amp;A problems (Netherlands, UK, Malta).  The professions providing the care for patients with RMD-related F&amp;A problems were different depending on the pathology and the country (Table1). Podiatrists provided care for F&amp;A pain and deformity problems in 11 countries, but provided F&amp;A ulcer care in only 8 countriesConclusions: Only 3 countries have F&amp;A health care services specialised to the needs of people with RMDs. The professions providing the care varied between countries, and also depended on the F&amp;A pathology. Interestingly, F&amp;A healthcare services were provided by professions that do not solely specialised in F&amp;A care.  Further research is needed to assess the variation of F&amp;A healthcare services between and within European countries and the impact on healthcare of various F&amp;A healthcare service designs.&#xd;
&#xd;
References: Woodburn, J. &amp; Helliwell, P. Foot problems in rheumatology. Rheumatology 36, 932-934 (1997).</dc:description>
      <dc:date>2016-06-24T09:33:52Z</dc:date>
      <dc:date>2016-06-24T09:33:52Z</dc:date>
      <dc:date>2016</dc:date>
      <dc:type>conference output</dc:type>
      <dc:identifier>http://hdl.handle.net/10630/11642</dc:identifier>
      <dc:language>eng</dc:language>
      <dc:relation>Annual European Congress of Rheumatology (EULAR 2016)</dc:relation>
      <dc:relation>Londres</dc:relation>
      <dc:relation>08/06/2016</dc:relation>
      <dc:rights>open access</dc:rights>
      <dc:rights>by-nc-nd</dc:rights>
      <dc:publisher>European League Against Rheumatism (EULAR)</dc:publisher>
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