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- W2910257782 abstract "Background In 2012, health insurance provisions for people with RMDs were cut drastically when reimbursement of physical therapy under the Dutch basic health insurance package was scrapped for reasons including lack of scientific evidence, the economic crisis and rising healthcare costs. The effect has been counterproductive. Costs have gone up as more patients use more medication and visit their rheumatologist and other specialists more often. It has also led to patients not getting the care they need. Because the Dutch Arthritis Foundation(DAF) believes that patients with RMDs should have access to the care they need, it launched a lobby to influence key governmental and political stakeholders. Objectives According to the DAF, patients with RMDs need access to the physical therapy they need. Efforts made in this area, such as the introduction of a registration point and impact research to demonstrate the effect of decreased accessibility, remained unsuccessful. We needed to adopt a different approach to instil in the government and political stakeholders a sense of urgency and to raise general awareness of the issue. Methods Parties in the field of RMD have now joined forces by: - consulting patients and care providers in a national survey: “Why is physiotherapy important to you?” - drafting a Reumanifest in which patients, doctors and researchers lobby for reinstatement of physiotherapy in the basic medical insurance package. - having the Reumanifest signed by patients, caregivers, professional organisations, professors, and other patient organisations (more than 25 000 responses). Results The Reumanifest was presented to political parties as a petition, and appeared in newspapers as an advertisement. This led to critical questions being asked to the Dutch Minister of Health, and put the issue and its urgency firmly back on the political agenda. With renewed political pressure on the issue, we expect that this will eventually lead to a solution for people with RMDs who need physiotherapy, but who now have to pay for this privately. The campaign has increased awareness among the cabinet and other political stakeholders. Conclusions By joining forces, you can make your voice heard in politics, as support from various perspectives lends credibility and relevance to the urgency. Disclosure of Interest None declared" @default.
- W2910257782 created "2019-01-25" @default.
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- W2910257782 date "2018-06-01" @default.
- W2910257782 modified "2023-09-26" @default.
- W2910257782 title "AB1485-PARE Reumanifest: joining forces for political urgency" @default.
- W2910257782 doi "https://doi.org/10.1136/annrheumdis-2018-eular.5256" @default.
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