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Rheumatology 2002; 41: 167-175
© 2002 British Society for Rheumatology
Original Papers |
Health-care use by rheumatoid arthritis patients compared with non-arthritic subjects
EA 3444 and Centre Hospitalier Universitaire de Nancy,
1 Centre Hospitalier Universitaire de Reims and
2 INSERM U 519, IFR 23 and Centre Hospitalier Universitaire de Rouen, France
Objective. 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.
Methods. 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.
Results. 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.
Conclusions. RA subjects use health-care services more widely than NA subjects. Variation in recourse behaviour is related to differences within administrative areas.
KEY WORDS: Health service research, Rheumatoid arthritis, Chronic disease.
Correspondence to: F. Guillemin, Centre Hospitalier Universitaire de Nancy, Service Epidémiologie et Evaluation Cliniques, Hôpital Marin, 92 avenue Maréchal de Lattre de Tassigny, 54 035 Nancy Cedex, France.
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