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BMJ 2005;330 (22 January), doi:10.1136/bmj.330.7484.0-c
Patients with rheumatoid arthritis like having direct access to specialist care when they need it, and make 38% fewer appointments than patients whose doctors arrange routine appointments. Hewlett and colleagues (p 171) randomised 209 patients to direct access or regular routine appointments and, after six years, patients with direct access were clinically and psychologically at least as well as those without such access.
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Credit: SHOUT/REX
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