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Development of a multidisciplinary consultation in pediatric rheumatology in Switzerland with a link to daily life of the patient


Pediatric patients consulting a rheumatologist are suffering from chronic diseases leading to a decreased quality of life associated with fears and many daily life problems.


We developed a multidisciplinary approach to help the patients and their parents in their daily life with the disease and try to improve their quality of life.


We established a multidisciplinary network in the French part of Switzerland, within and outside the hospital, with pediatric rheumatologists, nurses, physical therapists and occupational therapists. The patients are seen by the different members of the team according to their needs, and after consent of the physician, patient and parents. The nurses are providing a link between the consultation and the daily life of the child (family, home, school). With the different members of the team, we evaluated the needs of the patients and the goals of the network.


We identified different items for patients' needs: support, help, information, prevention, teaching for the patient and the family; and for the goals of the network: best integration of the child (school, daily activities), autonomy of the patient and his family, improve the quality of life, create a link between the different professionals to improve the outcome of the therapies.


By establishing a multidisciplinary approach of care for the children with rheumatic diseases, we identified the items, which are to our opinion the most pertinent in order to improve the quality of the care to these patients.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fonjallaz, B., Utiger, A., Aubel, G. et al. Development of a multidisciplinary consultation in pediatric rheumatology in Switzerland with a link to daily life of the patient. Pediatr Rheumatol 6 (Suppl 1), P166 (2008).

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  • Public Health
  • Chronic Disease
  • Pediatric Patient
  • Daily Activity
  • Rheumatic Disease