TY - JOUR
T1 - Autoimmune rheumatic transitional care model development
AU - Ariane, Anna
AU - Oey, Cindy
AU - Sumariyono, Sumariyono
AU - Herqutanto, Herqutanto
AU - Kurniati, Nia
AU - Hidayat, Rudy
AU - Shatri, Hamzah
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/12
Y1 - 2024/12
N2 - 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.
AB - 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.
KW - Autoimmune Rheumatic
KW - Juvenile Idiopathic Arthritis
KW - Mixed Method
KW - Systemic Lupus Erythematosus
KW - Transitional care model
UR - http://www.scopus.com/inward/record.url?scp=85202812878&partnerID=8YFLogxK
U2 - 10.1186/s41927-024-00407-5
DO - 10.1186/s41927-024-00407-5
M3 - Article
AN - SCOPUS:85202812878
SN - 2520-1026
VL - 8
JO - BMC Rheumatology
JF - BMC Rheumatology
IS - 1
M1 - 38
ER -