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FRI0015 Understanding between Physician and Patient with Rheumatoid Arthritis as a Tool for Effective Therapy (T2T Connect Implementation)
  1. L. Myasoutova1,2,
  2. S. Lapshina2,
  3. R. Mukhina1,
  4. M. Aphanasieva3,
  5. M. Sadykov4
  1. 1Rheumatology department, City Clinical Hospital 7
  2. 2Kazan State Medical University
  3. 3Rheumatology departnent, Republic clinical Hospital
  4. 4City Clinical Hospital 7, Kazan, Russian Federation


Background Understanding between physician and patient with rheumatoid arthritis as a tool for effective therapy (T2T connect implementation).

Objectives To identify the most significant problems for patient in disease understanding in order to create a system of effective physician-patient with RA interaction in future.

Methods 40 patients with confirmed RA, (mean duration of the disease 4,6 years, the average age of patients - 56.8 years) responded to 10 questions of the questionnaire concerning their relationship to the disease and the impact on the daily life with the need to evaluate the importance of each question on a scale from 1 to 10. Doctors rheumatologists (n=10) and physicians (n=30) answered the same questions from the position what they think is important for patients. Responses were ranked and compared.

Results The most important issues for patients were - constant need for prolonged therapy and side effects of therapy, third place - future prognosis and understanding the causes of disease. Next important question for patients was to determine the fear of constant pain. Doctors believed that patients are more concerned about the restriction in daily life because of the disease (patients raised this issue only in 6 out of 10). Further, according to the doctors opinion, patients worried about understanding of the causes of the disease (2) and predictions for the future (3). Next important question for patients, as doctors believed, was prolonged therapy (4), problems in personal and family life (5) and then persistant pain (6).

Conclusions Understanding the patients view to their disease will allow to restructure the communication with the patient, to improve educational programs for them. In conversation with patient doctors must pay more attention to explanation of the need of long-term therapy and its safety.

Disclosure of Interest None declared

DOI 10.1136/annrheumdis-2014-eular.5525

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