Early arthritis detection gets a digital boost in the Netherlands.

Recognising inflammatory arthritis early is crucial for timely treatment, but general practitioners (GPs) often struggle to identify these conditions. A Dutch research team explored how a digital referral algorithm could help GPs and patients decide when a rheumatology referral is needed—and what might stand in the way of adopting it.

The study combined focus groups with 26 patients and surveys from 215 caregivers (GPs and rheumatologists) across the Netherlands. Both groups agreed that a structured online tool could support earlier, more appropriate referrals and empower patients to discuss symptoms with their GP. Patients valued the algorithm for raising awareness and providing clear next steps, while GPs expected it could reduce unnecessary specialist visits. However, barriers included complex questions, limited advice when the result was negative, and concerns about patients using the tool independently.

Most stakeholders favoured embedding the algorithm within GP practices—integrated into existing clinical systems—rather than leaving patients to use it on their own. The authors conclude that successful rollout will require inclusive design, clear guidance for negative results, and integration into primary care software to ensure it supports shared decision-making and patient-centred care.

Reference:
 van Delft E, Bos R, Pennings P, et al. Barriers and facilitators for implementation of a digital referral algorithm for inflammatory arthritis: a qualitative assessment in patients and caregivers. BMC Prim Care. 2022;23:248. https://doi.org/10.1186/s12875-022-01858-w