DREAM is a Dutch network of hospitals committed to stimulate quality of care, efficient use of means and clinical research.
The DREAM approach
We believe that quality of care can be improved by sharing results and experiences and by incorporating the patients' perspective. The DREAM collaboration takes on a holistic approach towards transparency of healthcare at all levels: the patient level, the hospital level and the population level.
With this approach, DREAM started a registry for patients with rheumatoid arthritis (RA) in 2003. The registry data provides an extensive and detailed picture of patients, both with respect to clinical characteristics and self-reported measures of quality of life. Results show that patients with RA are treated effectively, safely and with efficient use of means.
Recently other collaborations have followed the DREAM initiative. DREAM now includes registries for spondylitis, juvenile idiopathic arthritis, gout and inflammatory bowel disease.