Patient-centred care in established rheumatoid arthritis

MJ.H. Voshaar, I. Nota, M.A.F.J. van de Laar, B.J.F. van den Bemt*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

76 Citations (Scopus)
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Review of the evidence on patient-centred care (PCC) in rheumatoid arthritis (RA) shows that involving the patient as an individual – with unique needs, concerns and preferences – has a relevant impact on treatment outcomes (safety, effectiveness and costs). This approach empowers patients to take personal responsibility for their treatment.Because clinicians are only able to interact personally with their patients just a few hours per year, patients with a chronic condition such as RA should be actively involved in the management of their disease. To stimulate this active role, five different PCC activities can be distinguished: (1) patient education, (2) patient involvement/shared decision-making, (3) patient empowerment/self-management, (4) involvement of family and friends and (5) physical and emotional support. This article reviews the existing knowledge on these five PCC activities in the context of established RA management, especially focused on opportunities to increase medication adherence in established RA.
Original languageEnglish
Pages (from-to)643-663
Number of pages21
JournalBest practice & research in clinical rheumatology
Issue number4-5
Publication statusPublished - Aug 2015


  • Rheumatoid arthritis
  • Patient-centred care
  • Self-management
  • Medication adherence
  • Patient empowerment
  • Patient education
  • Shared decision-making
  • 2023 OA procedure


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