Team rehabilitation and health care utilization in chronic inflammatory arthritis patients

2 List of papers 3 Aims of this thesis 4 Thesis at a glance 5 Description of contributions 6 Abbreviations and definitions 7 Introduction 8 Background 9 Health 9 The international classification of functioning, disability and health (ICF) 9 Rehabilitation 10 Chronic inflammatory arthritis 10 History of rheumatological care 12 Rheumatological rehabilitation teams 13 Evaluation of modern rheumtological team rehabilitation 16 The patient’s perspective 19 Methods Data sources 21 The STAR-ETIC project 21 The Skåne health care register 24 Methods Patients 26 Methods Outcome measures 28 Outcome measures used for evaluation 28 Psychometric properties 29 Health care utilization 30 Statistics 31 Ethics 31 Results 32 Health related quality of life 32 Other aspects of health 32 Physical functioning patient reported 33 Physical functioning observed 33 Health care utilization 35 General discussion 36 Theoretical frameworks for this thesis 36 Team rehabilitation 36 Health related quality of life 38 Physical functioning 38 Aerobic capacity 38 Psychometrics in the evaluation of team rehabilitation 39 Limitations of the present studies 39 Clinical implications 40 Future perspectives 41 Conclusions 42 Summary in Swedish 43 Acknowledgements 46 References 48 Papers I-IV 61 2 Team rehabilitation and health care utilization in chronic inflammatory arthritis