The Development of Rheumatoid Arthritis–Specific Ambulatory Care–Sensitive Conditions: Results of a Consensus Process
Authors' conclusion
Consensus was achieved for 13 proposed RA-specific ACSCs that could be used to monitor care access and quality for persons living with RA, determine population-level differences, and appropriately allocate resources.
Study context
- Population
- Clinical and patient panelists rating candidate conditions for rheumatoid arthritis (RA)-specific ambulatory care-sensitive conditions (ACSCs)49 candidate conditions
- Participants
- 22 vs 8
- Comparison
- Clinical panelists vs Patient panelists
- Clinical panelistsn = 22
- Patient panelistsn = 8
- Outcome
- Consensus on RA-specific ACSCs (preventability and importance of hospitalization)
Methodological detailsmodified Delphi process, systematic literature review, anonymous voting, RAND/UCLA Appropriateness Method, Clinical panelists: two rounds of anonymous voting with asynchronous discussion board between rounds, Patient panelists: same process on conditions without consensus, Interactive webinar before a final combined panel voting round
- Modified Delphi process
- Systematic literature review
- Anonymous voting
- RAND/UCLA Appropriateness Method
- Clinical panelists: two rounds of anonymous voting with asynchronous discussion board between rounds
- Patient panelists: same process on conditions without consensus
- Interactive webinar before a final combined panel voting round
Recommendations
As reported in the abstract
Proposed RA-specific ACSCs
- Conditions identified as proposed RA-specific ACSCs
- 13
Original publication
The Development of Rheumatoid Arthritis–Specific Ambulatory Care–Sensitive Conditions: Results of a Consensus Process. Arthritis Care Res (Hoboken). Published 10 August 2026. doi:10. 1002/ acr. 80135
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