Telerheumatology Shared-Care Model: Leveraging the Expertise of an Advanced Clinician Practitioner in Arthritis Care (ACPAC)-Trained Extended Role Practitioner in Rural-Remote Ontario
Authors' conclusion
An ACPAC-ERP (spoke) and rheumatologist (hub) telerheumatology model of care assessing and managing patients with suspected IA in rural-remote Ontario was described.
Study context
- Population
- Patients with suspected inflammatory arthritis (IA) in rural-remote Ontario, seen in a monthly half-day telerheumatology clinic by a community-embedded ACPAC-ERP (spoke) and an urban-based rheumatologist (hub)
- Participants
- 124 patients504 visits
- Outcome
- Time-to-key care indices and care delivery of the shared-care telerheumatology model
Methodological detailshub-and-spoke telerheumatology, shared-care model, Patients seen between January 2013 and January 2022; average age at first visit 55.6 years; 75.8% female
- Hub-and-spoke telerheumatology
- Shared-care model
- Patients seen between January 2013 and January 2022; average age at first visit 55.6 years; 75.8% female
Main finding
As reported in the abstract
- Virtual visits
- 98% (n = 494/504 visits)
- IA/CTD confirmed
- 65%
- Mean time from primary care referral to ACPAC-ERP assessment
- 52.5 days
- Mean time from ACPAC-ERP assessment to telerheumatology visit
- 64.5 days
- Estimated patient-related travel avoided
- 493,470 km
Observational data: associations, not effects.
Original publication
Telerheumatology Shared-Care Model: Leveraging the Expertise of an Advanced Clinician Practitioner in Arthritis Care (ACPAC)-Trained Extended Role Practitioner in Rural-Remote Ontario. J Rheumatol. Published 1 June 2024. doi:10.
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