Self-assessment Triage in Inflammatory Arthritis

Self-assessment Triage in Inflammatory Arthritis

There are benefits to early, intensive treatment of IA. But getting to treatment depends on timeline and accurate case identification. The longest delays occur in persons self-identifying the need to see care for IA, recognition of these cases by primary care providers (PCPs), and appropriate, timely referral to rheumatology. Current methods of improving time to referral and consultation are effective, but costly and unsustainable, so there is need to look for alternatives. One solutions may be the use of patient self-administered tools.

In this study, we will test whether the use of validated, self-administered patient questionnaires (self-assessment) can advance the urgency rating of referrals for people with inflammatory arthritis (IA). If urgency ratings can be advanced then self-assessment may have the potential to reduce wait times to see a rheumatologist.

In Canada, one in every hundred people has IA and hundreds of new patients are diagnosed each year. Wait times to see a rheumatologist are long, so anything that has the potential to reduce these wait times would have a significant impact.

Inclusion Criteria:

• new patient referral

Exclusion Criteria:

• under 18 years of age
• confirmed diagnosis of inflammatory condition
• seen/managed by another rheumatologist within the last five years
• unable to speak English
• on disease modifying antirheumatic drugs.
• referrals from the Emergency Department