Impact of socioeconomic gradients within and between countries on health of patients with rheumatoid arthritis (RA): Lessons from QUEST RA

Polina Putrik*, Tuulikki Sokka, Sofia Ramiro, Annelies Boonen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


In this chapter, we discuss challenges in collecting data on outcomes of patients who receive usual rheumatology care. We present results of the multinational Quantitative Monitoring of Patients with Rheumatoid Arthritis (QUEST RA) study which is a successful example of quantitative clinical measuring of RA as part of routine clinical care in a large number of centres across more than 30 countries. We further elaborate on what we can learn from these data about inequalities and inequities, both within and between countries. Frameworks to understand socioeconomic determinants of health are presented and, in addition to the QUEST RA data, the literature is summarised to provide further evidence on how socioeconomic determinants can contribute to health disparities of patients within and between countries.
Original languageEnglish
Pages (from-to)705-720
JournalBest Practice & Research in Clinical Rheumatology
Issue number5
Publication statusPublished - Oct 2012


  • Rheumatoid arthritis
  • Health outcomes
  • Health economics
  • DMARDs
  • Access to health care
  • Socioeconomic inequalities

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