Autoimmune rheumatic transitional care model development

Anna Ariane, Cindy Oey, Sumariyono Sumariyono, Herqutanto Herqutanto, Nia Kurniati, Rudy Hidayat, Hamzah Shatri

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: To develop a transitional care model for autoimmune rheumatic disease patients based on the needs analysis. Method: Mixed Method, Explanatory sequential design (QUAN-qual) has been conducted. Quantitative data were collected through medical record and structured interviews. Qualitative study has been done through Focused Group Discussion (FGD), based on problems met in previous quantitative study. We have done the coding processed, followed by determining categories and themes to reach the intercoder agreement with peer-debriefing. Analysis of the final results of research was assisted by the external auditor to form a model of care. Result: The quantitative data collection from 27 patients showed that the transition age was 18–19 year-old, age of onset 4–17 year-old, 23 patients (85, 2%) with SLE, 4 patients (14.8%) with JIA. Two patients (7.4%) had different diagnosis from the pediatric clinic, 1 patient (3.7%) had no diagnosis from previous clinic. Drug switching during transition occurred in 14 patients (51.9%) and 3 patients (11.1%) has no known medication history. Data regarding disease activity at initial diagnosis were not available in 26 patients (96.3%). The combined FGD analysis found several key words related to “the need of change” in RSCM autoimmune rheumatic transitional care. Conclusion: A development of transitional care model for autoimmune rheumatic disease consist of documents about service algorithm, transfer documents, systematic work protocols with education check list has been done.

Original languageEnglish
Article number38
JournalBMC Rheumatology
Volume8
Issue number1
DOIs
Publication statusPublished - Dec 2024

Keywords

  • Autoimmune Rheumatic
  • Juvenile Idiopathic Arthritis
  • Mixed Method
  • Systemic Lupus Erythematosus
  • Transitional care model

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