Systemic delays in diagnosing inflammatory arthritis: the role of healthcare access and frontline physiotherapists
Original framing: “Nine years to diagnosis: the challenge of spotting inflammatory arthritis and the role of first contact physiotherapists” — The Conversation - Global
Scientific advancements in biomarkers and imaging have improved the accuracy of inflammatory arthritis diagnosis. However, these tools are not widely accessible in primary care settings, contributing to diagnostic delays and poor patient outcomes.
The systemic delay in diagnosing inflammatory arthritis is not just a medical issue but a reflection of broader structural failures in healthcare access, resource allocation, and interprofessional coordination.
Historical underfunding of rheumatology services and fragmented communication between healthcare providers contribute to late diagnosis. Cross-culturally, community-based models in low-income countries offer insights into decentralized early detection. Integrating physiotherapists into diagnostic pathways, leveraging AI for predictive analytics, and promoting interprofessional collaboration can create a more responsive and equitable system. These solutions require policy support, investment in training, and a commitment to including marginalized voices in healthcare design.