{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T16:48:59Z","timestamp":1782060539370,"version":"3.54.5"},"reference-count":11,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Japan Society for the Promotion of Science (JSPS) KAKENHI","award":["24K13851"],"award-info":[{"award-number":["24K13851"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine rheumatologists\u2019 perceptions of nurse-led telephone consultations for rheumatoid arthritis patients, including differences between those working with and without rheumatology care nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Rheumatologists completed a web-based questionnaire on nurse-led telephone consultations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 129 rheumatologists responded: 49 with rheumatology care nurses, 73 without, and 7 unknown. Regarding telephone consultations, 35.7% reported that nurses handled them, and 34.9% reported that either physicians or nurses did. Most agreed with nurses handling these consultations (87.6%) and its contribution to patient satisfaction (89.9%), with higher agreement among those working with rheumatology care nurses (P\u2009&amp;lt;\u2009.001 for both). High agreement was also observed for nurse management of daily life (93.0%), psychological issues (92.3%), and self-injection techniques (91.4%). Rheumatologists working with rheumatology care nurses showed higher agreement across many items, including whether patients should self-inject biological agents (P\u2009=\u2009.001) and the management of drug side effects (P\u2009=\u2009.011).<\/jats:p>\n                    <jats:p>Reported challenges included insufficient nurse knowledge and a lack of reimbursement. Qualitative analysis indicated that nurse-led telephone consultations facilitate access, enable appropriate triage and prompt responses, and reduce unnecessary visits. Expected benefits included patient information gathering, clear explanations, psychological support, and complementing rheumatologists\u2019 work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most rheumatologists agreed that nurses should handle telephone consultations, which were perceived to facilitate person-centred care, appropriate triage, and economic benefits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/mr\/roag049","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T11:45:20Z","timestamp":1779968720000},"source":"Crossref","is-referenced-by-count":0,"title":["Rheumatologists\u2019 perceptions of nurse-led telephone consultations for patients with rheumatoid arthritis in Japan"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6636-2835","authenticated-orcid":false,"given":"Mie","family":"Fusama","sequence":"first","affiliation":[{"name":"Department of Nursing, Kansai University of International Studies , Miki ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5986-4809","authenticated-orcid":false,"given":"Hideko","family":"Nakahara","sequence":"additional","affiliation":[{"name":"Faculty of Health Science, Osaka Yukioka College of Health Science , Ibaraki ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izumi","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"School of Nursing, Takarazuka University , Osaka ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihiro","family":"Matsui","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Research, Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital , Sagamihara ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Misuzu","family":"Gregg","sequence":"additional","affiliation":[{"name":"Graduate School of Nursing, Meio University , Nago ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"2026062112464874400_ref1","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1136\/ard.61.4.341","article-title":"Review of the function of a telephone helpline in the treatment of outpatients with rheumatoid arthritis","volume":"61","author":"Hughes","year":"2002","journal-title":"Ann Rheum Dis"},{"key":"2026062112464874400_ref2","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1136\/annrheumdis-2011-200185","article-title":"EULAR recommendations for the role of the nurse in the management 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pandemic","volume":"49","author":"Shaver","year":"2022","journal-title":"Prim Care"},{"key":"2026062112464874400_ref6","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1089\/tmj.2020.0168","article-title":"Patients perceptions of telemedicine visits before and after the coronavirus disease 2019 pandemic","volume":"27","author":"Holtz","year":"2021","journal-title":"Telemed J E Health"},{"key":"2026062112464874400_ref7","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1093\/mr\/roaf068","article-title":"The need for telemedicine for rheumatic diseases in adult medical care: a survey of nonpaediatric rheumatologists","volume":"36","author":"Iwata","year":"2025","journal-title":"Mod Rheumatol"},{"key":"2026062112464874400_ref8","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1093\/mr\/road079","article-title":"Challenges faced by nurses engaged in rheumatology care in Japan","volume":"34","author":"Fusama","year":"2024","journal-title":"Mod Rheumatol"},{"key":"2026062112464874400_ref9","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1002\/acr.25317","article-title":"Reimburse nurse-supported rheumatology care on health care costs and access: an interrupted time series analysis","volume":"76","author":"Trenaman","year":"2024","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"2026062112464874400_ref10","doi-asserted-by":"publisher","first-page":"rkae084","DOI":"10.1093\/rap\/rkae084","article-title":"A national survey of rheumatology telephone advice line support in the United Kingdom: frontline perspectives","volume":"8","author":"Ryan","year":"2024","journal-title":"Rheumatol Adv Pract"},{"key":"2026062112464874400_ref11","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1136\/annrheumdis-2015-207524","article-title":"Treating rheumatoid arthritis to target: 2014 update of the recommendations of an international task force","volume":"75","author":"Smolen","year":"2016","journal-title":"Ann Rheum 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