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Combined Care of the Rheumatic Patient

John F. Beary III, MD
JAMA. 1985;254(23):3374-3375. doi:10.1001/jama.1985.03360230106039.
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This book is a delight to read. Its theme is the multidisciplinary care of patients with rheumatic disease.

The book is organized around three sections. Section I (chapters 1 through 3) reviews diagnosis and therapy of rheumatic diseases from a British perspective, which leads one to useful and interesting insights into the approach we apply to similar problems in the United States. Section II (chapters 4 through 6) reviews the contributions of nursing professionals, occupational therapists, and physiotherapists to patient care.

The third section (chapters 7 through 12) lays out a comprehensive "combined care" approach to the many needs of patients suffering from arthritis. A team member called a "metrologist" is described. This person is a nurse practitioner who provides active patient care and also makes clinical assessments and measurements for clinical research protocols. An immediate yield of this innovative approach has been a marked decrease in drug trial drop-out


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