Challenges of Practicing Rheumatology in a Government Setting: A County Hospital and Veterans Affairs Hospital Perspective

Academic Article


  • © 2018 Elsevier Inc. In this article, we review the challenges and opportunities afforded by working in a government setting by providing the perspective of the Veterans Affairs experience as well as the county/public hospital experience from Los Angeles County Department of Health Services. This article highlights processes and services that are unique to practicing rheumatology in a government setting, specifically, resource allocation with clinic space and staffing; protocols for access to conventional and biologic disease modifying antirheumatic drugs; and research opportunities for rheumatologists working in a government setting. Our aim is to expand the reader's understanding of this practice setting.
  • Digital Object Identifier (doi)

    Author List

  • Miller GD; Singh JA
  • Start Page

  • 39
  • End Page

  • 51
  • Volume

  • 45
  • Issue

  • 1