December 20, 1985

Combined Care of the Rheumatic Patient

Author Affiliations

Georgetown University School of Medicine Washington, DC


by H. A. Bird, Patricia le Gallez, and Jacqueline Hill, 303 pp, 64 illus, paper, $24.50, New York, Springer-Verlag, 1985.

JAMA. 1985;254(23):3374-3375. doi:10.1001/jama.1985.03360230106039

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


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