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Pressure on inpatient services has restricted the option of hospital
admission for uncomplicated active rheumatoid arthritis and alternative
strategies, such as day care, have been implemented without evaluation.
A randomised controlled trial by Lambert et al (p 965) shows the
clinical equivalence of conventional inpatient care and hospital based
day care. Though the overall costs of day care are slightly less than
those of inpatient care, the costs borne by day patients themselves may
be higher. Some patients may value the social convenience of day care.