{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T05:08:23Z","timestamp":1755925703816},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,10,2]],"date-time":"2012-10-02T00:00:00Z","timestamp":1349136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Participants with rheumatoid arthritis (RA) report that foot ulceration has an impact on their health\u2010related quality of life (HRQL) across physical, social and psychological domains. What is not known is how experiences of healthcare provision influence HRQL. The present study set out to map the patent journey while integrating the impact on HRQL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A purposive sample of RA patients with open foot ulceration was recruited from podiatry clinics in West Yorkshire (UK) between May 2008 and June 2009. Patients with diabetes were excluded (the impact of foot ulceration in this group is well established). In\u2010depth interviews were taped and transcribed. A framework approach to data management was used to facilitate a case\u2010 and theme\u2010based analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010three RA patients (18 female, five male; aged 45\u201388\u2009years) participated. Two themes and five sub\u2010themes were identified. The patient journey theme comprised the following sub\u2010themes: access to care; knowledge acquisition; care pathways and continuity of care. Patient\u2013professional relationships comprised the sub\u2010themes: therapeutic patient\u2013professional relationships and task\u2010orientated care. The journey took a highly variable course that was influenced by patient\u2010specific factors (past experience of ulceration; symptomology; knowledge and self\u2010efficacy); service\u2010specific factors (access to care and care pathways) and professional\u2010specific factors (knowing and trusting someone; holism).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present study highlights the need for clearer care pathways for patients affected by foot ulceration improved patient education and better coordination of care. Copyright \u00a9 2012 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1036","type":"journal-article","created":{"date-parts":[[2012,10,2]],"date-time":"2012-10-02T08:22:06Z","timestamp":1349166126000},"page":"159-167","source":"Crossref","is-referenced-by-count":8,"title":["Experiences of Healthcare Provision for Foot Ulceration Occurring in People with Rheumatoid Arthritis"],"prefix":"10.1002","volume":"11","author":[{"given":"Jill","family":"Firth","sequence":"first","affiliation":[{"name":"Pennine Musculoskeletal Partnership Ltd  Oldham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Nelson","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds  Leeds UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Briggs","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds  Leeds UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Gorecki","sequence":"additional","affiliation":[{"name":"Clinical Trials Research Unit University of Leeds  Leeds UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,10,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04348.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","unstructured":"DorresteijnJA KriegsmanDM AssendelftWJ ValkDG(2010).Patient education for preventing diabetic foot ulceration. 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