Inequities in rheumatologic care: the impact of geography and socioeconomic status
Abstract
Geography and socioeconomic status profoundly shape access to rheumatologic care, particularly in resource-limited settings such as Pakistan. Specialist shortages, urban-centered services, financial barriers and limited health literacy contribute to delayed diagnoses and poorer outcomes, especially for rheumatologic conditions requiring early intervention. Rural and low-income communities face the greatest disadvantages, reflecting broader structural inequities in global health systems. Addressing these gaps requires workforce expansion, policy reform, equitable telemedicine implementation and community-engaged approaches. Embedding equity into rheumatology is essential to ensure that advances in diagnostics and therapeutics benefit all patients, regardless of where they live or what they earn.
Keywords: Inequity, Rheumatology, Geography, Socioeconomic Status, Rheumatologists, Pakistan.
Citation: Butt NI, Waris B, Ghoauri MSA. Inequities in rheumatologic care: the impact of geography and socioeconomic status (Editorial). Anaesth. pain intensive care 2025;29(9):1158-60. DOI: 10.35975/apic.v29i9.3042
Received: November 25, 2025; Revised: November 26, 2025; Accepted: November 30, 2025













