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Facilitators to implement standards of care for rheumatoid arthritis and osteoarthritis: the EUMUSC.NET project
  1. Rikke H Moe1,
  2. Ingemar F Petersson2,
  3. Loreto Carmona3,
  4. Rolf Greiff4,
  5. Francis Guillemin5,
  6. Gabriela Udrea6,
  7. Estibaliz Loza3,
  8. Michaela A Stoffer7,
  9. Maarten de Wit8,
  10. Dieter Wiek9,
  11. Theodora Vliet Vlieland10,
  12. Anthony D Woolf11,
  13. Till Uhlig1,
  14. the EUMUSC.NET working group
  1. 1Department of Rheumatology, National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet Hospital, Oslo, Norway
  2. 2Orthopedics and Rheumatology, Clinical Sciences Lund, Lund University, Lund, Sweden
  3. 3Instituto de Salud Musculosqueletica, Spain
  4. 4Swedish Rheumatism Association, Sweden
  5. 5Lorraine Paris Descartes University, Paris, France
  6. 6Dr Ion Cantacuzino Clinical Hospital, Bucharest, Romania
  7. 7Medizinsche Universität Wien, Vienna, Austria
  8. 8Reumapatiëntenbond, The Netherlands
  9. 9Deutsche Reuma-Liga, Bonn, Germany
  10. 10Leiden University Medical Center, The Netherlands
  11. 11Royal Cornwall Hospital, Truro Cornwall, UK
  1. Correspondence to Rikke Helene Moe, Department of Rheumatology, Diakonhjemmet Hospital, P.O. Box 23, Vinderen, Oslo 0319, Norway; rikmoe{at}


Background Rheumatoid arthritis (RA) and osteoarthritis (OA) are important musculoskeletal diseases that the EUMUSC.NET project developed Standards of Care (SOC) for.

Objective The purpose was to explore factors to enable successful implementation of the SOC for RA and OA.

Methods A combined set of methods was used; a literature search, a European survey among patients, clinicians and policymakers; and focus groups.

Results Potential facilitators were identified during a literature search. The online survey captured 282 responses from clinicians, patients and policymakers from 35 European countries, and focus groups from 5 countries contributed with knowledge about possible additional facilitators and strategies. Both the survey and the focus groups endorsed all 11 facilitators. The most important facilitators for implementing the SOC were motivation, agreement, knowledge and personal attitude. The focus groups underlined the lack of access to recommended care in some countries, that multidisciplinary teams should be strengthened and that some healthcare reimbursement systems need change to implement recommended clinical practice.

Conclusion Eleven facilitators key for the implementation of the SOC for RA and OA were endorsed by patients and clinicians from 35 European countries. This knowledge may contribute to improved care for patients with RA and OA in Europe.

  • Osteoarthritis
  • Rheumatoid Arthritis
  • Health services research
  • Patient perspective

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