
Integrated Rheumatology-Gastroenterology Clinic: An Innovative Organisation for Patients with Multiple Autoimmune Diseases
References
- Danish Health and Medicines Authority (DHMA). Specialised Hospital Services – Principles Of National Planning In Denmark. Copenhagen; 2015.
- Danske patienter. Specialisering i sundhedsvæsenet [Specialisation in the Healthcare System]. Available from:
https://danskepatienter.dk/politik-presse/politiske-holdninger/specialisering-i-sundhedsvaesenet . [in Danish] - Holm-Petersen C, Højgaard B. Højere kvalitet gennem samling af komplekse og specialiserede kliniske funktioner – En litteraturgennemgang af organisatoriske forudsætninger, fordele og udfordringer [Higher quality through the consolidation of complex and specialised clinical functions – A literature review of organisational preconditions, advantages, and challenges]; 2018. [in Danish]
- Holm-Petersen C, Buch MS. Litteratur om ledelse af samarbejde på tværs af sektorer i sundhedsvæsenet [Literature on managing cross-sector collaboration in healthcare]; 2014. [in Danish]
- Lunding K. Danske Patienter: Sundhedsvæsenet er fyldt med overflødige procedurer og undersøgelser [Danish Patients: The Healthcare System is Full of Unnecessary Procedures and Investigations]; 2022. Available from:
https://www.altinget.dk/sundhed/artikel/danske-patienter-sundhedsvaesenet-er-fyldt-med-overfloedige-procedurer-og-undersoegelser?SNSubscribed=true&ref=newsletter&refid=altinget-dk-sundhed-normal-17&utm_campaign=Altinget%20DK%20-%20Sundhed&utm_content=Altinget%20DK%20-%20Sundhed%20%28Normal%29&utm_medium=e-mail&utm_source=nyhedsbrev . [in Danish] - Brink ML.
Det hele menneske bliver glemt i sundhedsvæsnet [The individual as a whole is overlooked in the healthcare system] : Danish Rheumatism Association; 2023. Available from:https://www.gigtforeningen.dk/nyheder/2023/1-halvaar/det-hele-menneske-bliver-glemt-i-sundhedsvaesnet/?fbclid=IwAR0GyIH-GdF8WYswa8Yz0LtDp56mvQ4x63PrHge5UC4R5KSrl8CGUs1fXvg . [in Danish] - Jansbøl K. Sammenhængende patientforløb: Hvad oplever patienter med autoimmune kroniske lidelser? [Continuity of care: What do patients with autoimmune chronic conditions experience?]; 2014. [in Danish]
- Jansbøl K, Nielsen LAN, Hjarsbech P, Kjellberg P. Oplevelser af behandlingsforløb og sygdomskonsekvenser blandt mennesker med én eller flere autoimmune sygdomme [Experiences of treatment pathways and disease consequences among people with one or more autoimmune diseases]; 2016. [in Danish]
- Madsen MH, Johansen MB, Jensen DC, Martin HM, Pedersen LB, Vixø K, et al. Udredning og behandling af gigt – En undersøgelse af sammenhæng i gigtpatienters udrednings- og behandlingsforløb [Assessment and Treatment of Arthritis – An Investigation of the Continuity in Arthritis Patients’ Diagnostic and Treatment Pathways]; 2023. [in Danish]
- Vinge S, Mogensen T.
Det usammenhængende sygehusvæsen under behandling [The fragmented healthcare system under treatment] . In: Weiss K, editor. Sund ledelse. 1st ed: Danske regioner; 2012. [in Danish] - Topholm EH-E, Martin HCM, Bech M. Sammenhængende patientforløb [Continuity of care]: VIVE – The Danish Center for Social Science Research; 2021. Available from:
https://www.vive.dk/da/udgivelser/sammenhaengende-patientforloeb-16786/ . [in Danish] - Jensen JH.
Det sammenhængende patientforløb [The coherent patient pathway] . In: Friis Andersen J, Falk K, editors. Sundhedsvæsenet på tværs. 3. ed: Munksgaard; 2018. [in Danish] - Wang L, Wang FS, Gershwin ME. Human autoimmune diseases: a comprehensive update. J Intern Med. 2015;278(4):369–95. DOI: 10.1111/joim.12395
- Lerner A, Jeremias P, Matthias T. The World Incidence and Prevalence of Autoimmune Diseases is Increasing. International Journal of Celiac Disease. 2015;3(4):151–5. DOI: 10.12691/ijcd-3-4-8
- Miller FW. The increasing prevalence of autoimmunity and autoimmune diseases: an urgent call to action for improved understanding, diagnosis, treatment, and prevention. Current Opinion in Immunology. 2023;80:102266. DOI: 10.1016/j.coi.2022.102266
- Eaton WW, Rose NR, Kalaydjian A, Pedersen MG, Mortensen PB. Epidemiology of autoimmune diseases in Denmark. Journal of autoimmunity. 2007;29(1):1–9. DOI: 10.1016/j.jaut.2007.05.002
- Karreman MC, Luime JJ, Hazes JMW, Weel AEAM. The Prevalence and Incidence of Axial and Peripheral Spondyloarthritis in Inflammatory Bowel Disease: A Systematic Review and Meta-analysis. Journal of Crohn’s and colitis. 2017;11(5):631–42. DOI: 10.1093/ecco-jcc/jjw199
- Iannazzo S, Furneri G, Demma F, Distante C, Parisi S, Berti V, et al. The Burden of Rheumatic Diseases: An Analysis of an Italian Administrative Database. Rheumatol Ther. 2016;3(1):167–77. DOI: 10.1007/s40744-016-0034-2
- National Board of Health. Chronic Conditions – Patient, Healthcare and Community; 2005.
- Mendes-Bastos P, Nero P, Ferreira P, Bernardo A, Barcelos A, Pimentel Dos Santos FM, et al. A multidisciplinary approach in psoriatic disease: the different models of dermatology-rheumatology collaborations in Portugal. Acta Reumatol Port. 2021;46(4):333–41.
- Theodorakopoulou E, Dalamaga M, Katsimbri P, Boumpas DT, Papadavid E. How does the joint dermatology-rheumatology clinic benefit both patients and dermatologists? Dermatol Ther. 2020;33(3):
e13283 . DOI: 10.1111/dth.13283 - Argobi Y, Smith GP. Analysis of the first 5 years of an interdisciplinary Rheumatology-Dermatology clinic. Clin Exp Dermatol. 2021;46(2):270–5. DOI: 10.1111/ced.14390
- Foti R, Giuffrida G, Ramondetta A, Amato G, Visalli E, Foti R, et al. Multidisciplinary Rheuma-Derma Clinics: 5 Years of Experience at the San Marco Hospital in Catania. Dermatol Ther (Heidelb). 2022;12(12):2829–37. DOI: 10.1007/s13555-022-00837-4
- Hong C, Fang S, Yeo YW, Koh HY, Lee HY, Low AH, et al. Patient and learner experience in a new set up of a multidisciplinary dermatology-rheumatology clinic care model for psoriatic arthritis. Int J Rheum Dis. 2022;25(8):861–8. DOI: 10.1111/1756-185X.14359
- Klavdianou K, Stavropoulou M, Panagakis P, Papoutsaki M, Panagiotopoulos A, Koutsianas C, et al. Patient characteristics, treatment patterns and disease outcomes in patients with psoriatic arthritis followed in a combined Dermatology-Rheumatology clinic: a retrospective real-world study. Rheumatol Int. 2022;42(6):1035–41. DOI: 10.1007/s00296-022-05126-z
- Haberman R, Perez-Chada LM, Merola JF, Scher J, Ogdie A, Reddy SM. Bridging the Gaps in the Care of Psoriasis and Psoriatic Arthritis: the Role of Combined Clinics. Curr Rheumatol Rep. 2018;20(12):76. DOI: 10.1007/s11926-018-0785-6
- Velez NF, Wei-Passanese EX, Husni ME, Mody EA, Qureshi AA. Management of psoriasis and psoriatic arthritis in a combined dermatology and rheumatology clinic. Arch Dermatol Res. 2012;304(1):7–13. DOI: 10.1007/s00403-011-1172-6
- Campagna M, Castillo R, Mattessich S, Mandhadi R, Lu J. Impact of a combined dermatology-rheumatology clinic on management of autoimmune connective tissue disorders. Clin Exp Dermatol. 2019;44(2):e24–e5. DOI: 10.1111/ced.13766
- Queiro R, Coto P. Multidisciplinary care for psoriatic disease: Where we are and where we need to go. Rheumatology (Oxford). 2017;56(11):1829–31. DOI: 10.1093/rheumatology/kew485
- Samycia M, McCourt C, Shojania K, Au S. Experiences From a Combined Dermatology and Rheumatology Clinic: A Retrospective Review. Journal of cutaneous medicine and surgery. 2016;20(5):486–9. DOI: 10.1177/1203475416649138
- Lorenzetti R, Scolieri P, Guarini A, De Marinis F, Zullo A, Hassan C, et al. Integrated gastroenterology and rheumatology ambulatory: an innovative approach for enteropathic spondyloarthritis early diagnosis. Ann Ist Super Sanita. 2019;55(3):246–8. DOI: 10.4415/ann_19_03_08
- Luchetti MM, Benfaremo D, Bendia E, Bolognini L, Fava G, Marini F, et al. Clinical and patient reported outcomes of the multidisciplinary management in patients with inflammatory bowel disease-associated spondyloarthritis. Eur J Intern Med. 2019;64:76–84. DOI: 10.1016/j.ejim.2019.04.015
- Conigliaro P, Chimenti MS, Ascolani M, Triggianese P, Novelli L, Onali S, et al. Impact of a multidisciplinary approach in enteropathic spondyloarthritis patients. Autoimmun Rev. 2016;15(2):184–90. DOI: 10.1016/j.autrev.2015.11.002
- Hjuler KF, Dige A, Agnholt J, Laurberg TB, Loft AG, Møller LF, et al. Effectiveness of interdisciplinary combined dermatology–gastroenterology–rheumatology clinical care compared to usual care in patients with immune-mediated inflammatory diseases: a parallel group, non-blinded, pragmatic randomised trial. BMJ open. 2021;11(4):e041871–e. DOI: 10.1136/bmjopen-2020-041871
- Gudu T, Jadon DR. Multidisciplinary working in the management of axial and peripheral spondyloarthritis. Ther Adv Musculoskelet Dis. 2020;12:1759720X20975888. DOI: 10.1177/1759720X20975888
- Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. Bmj. 2014;348:g1687. DOI: 10.1136/bmj.g1687
- Cloninger CR. Person-centered Health Promotion in Chronic Disease. International Journal of Person Centered. 2013;3(1):5–12. DOI: 10.5750/ijpcm.v3i1.379
- Ritchie J, Spencer L, O’Connor W.
Carrying out Qualitative Analysis . In: Ritchie J, Lewis J, editors. Qualitative research practice: a guide for social science students and researchers. London: SAGE; 2003. - Haggerty JL, Reid RJ, Freeman GK, Starfield BH, Adair CE, McKendry R. Continuity of care: a multidisciplinary review. BMJ. 2003;327(7425):1219–21. DOI: 10.1136/bmj.327.7425.1219
- Pouillon L, Bossuyt P, Vanderstukken J, Moulin D, Netter P, Danese S, et al. Management of patients with inflammatory bowel disease and spondyloarthritis. Expert Review of Clinical Pharmacology. 2017;10(12):1363–74. DOI: 10.1080/17512433.2017.1377609
- Jackson J, MacKean G, Cooke T, Lahtinen M. Patient and provider experiences with relationship, information, and management continuity. Patient experience journal. 2017;4(3):38–47. DOI: 10.35680/2372-0247.1192
- Martin HM.
Er der styr på mig? – Sammenhængende patientforløb fra patientens perspektiv [Is everything under control? – Continuity of care from the patient’s perspective] . Dansk Sundhedsinstitut 2010. [in Danish] - Guthrie B, Saultz JW, Freeman GK, Haggerty JL. Continuity of care matters. BMJ. 2008;337:a867. DOI: 10.1136/bmj.a867
- Enhed for Evaluering og Brugerinddragelse.
Hvad er vigtigt for borgerne i deres møde med sundhedsvæsenet? [What is Important for Citizens in Their Interaction with the Healthcare System?] . Region Hovedstaden; 2015. [in Danish] - Gittell JH, Godfrey M, Thistlethwaite J. Interprofessional collaborative practice and relational coordination: Improving healthcare through relationships. Journal of Interprofessional Care. 2013;27(3):210–3. DOI: 10.3109/13561820.2012.730564
- Bolton R, Logan C, Gittell JH. Revisiting Relational Coordination: A Systematic Review. The Journal of applied behavioral science. 2021;57(3):290–322. DOI: 10.1177/0021886321991597
- Timm H.
Patientens fortælling som sammenhængskraft [The patient›s narrative as cohesiveness] . In: Timm H, editor. Sammenhængende forløb i sundhedsvæsenet: Videncenter for Sammenhængende Forløb; 2010. [in Danish] - Kaufman SR. Ordinary Medicine, Extraordinary Treatments, Longer Lives, and where to Draw the Line. Duke University Press; 2015. DOI: 10.2307/j.ctv11cw8x0
- Crisafulli B, Wasil M, Singh J, Benoit S. Managing patient expectations through understanding health service experiences. British journal of medical practitioners. 2019;12(2).
- El-Haddad C, Hegazi I, Hu W. Understanding Patient Expectations of Health Care: A Qualitative Study. Journal of patient experience. 2020;7(6):1724–31. DOI: 10.1177/2374373520921692
DOI: https://doi.org/10.5334/ijic.9292 | Journal eISSN: 1568-4156
Language: English
Submitted on: Mar 3, 2025
Accepted on: Jun 17, 2025
Published on: Nov 7, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
© 2025 Sarah Holm Junge Jensen, Michal Frumer, Eileen Dorte Shanti Connelly, Rene Østgård, Henning Glerup, Kate Denby, Anja Leth Egsgaard, Charlotte Weiling Appel, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.