<h3>Background</h3> A Centre of Excellence (CoE) healthcare model aims to obtain a high quality results from the appropriate and minimal use of resources in rheumatoid arthritis (RA); Enhancing adherence of patients to healthcare model and treatment using a Treat to Target approach and patient education has demonstrated the improvement of patient conditions and clinical results.¹ <h3>Objectives</h3> To describe the adherence patterns to a centre of excellence model and clinical outcomes in patients with RA in a specialised centre. For this study researchers defined adherence as the attendance to an appointment with our healthcare team for more than three times during 12 months. <h3>Methods</h3> We reviewed the clinical records of patients with RA in a specialised centre during a 12 month period. We included socio demographic variables and the attendance to consultations to rheumatology, physiatry, physical therapy, occupational therapy, nutrition, and psychology consultations. Descriptive epidemiology was done, percentages and averages were calculated We analysed bivariate association with Pearson's X². <h3>Results</h3> We included 5413 patients, where 83% were female and 17% were male; mean age was 59 years±12. Mean DAS28 of patients was 2.82±0.84, where 46% of patients were on remission, 27% in low disease activity, 24% in moderate disease activity and 3% in severe disease activity. The specialty were the adherence was higher was in rheumatology 98%, followed by physiatry 33%, psychology 29%, physical therapy 28%, occupational therapy 20% and nutrition 13%. In our study 47% of patients were considered as adherents; from all patients who were adherent 75% were in remission or low disease activity. When we compared disease activity with the attendance to all specialties there was statistical association between disease activity and the patients who attended to more than four visits. <h3>Conclusions</h3> Patients who attend satisfactory to a multidisciplinary healthcare approach team can achieve better results compared to those who doesn't attend to all medical specialties; thus it is relevant to implement patient education processes in order to create awareness about the importance and value of each medical specialty, mainly in patients with moderate or severe disease activity. <h3>Reference</h3> [1] Santos-Moreno P, Castaneda O, Garro B, Flores D, Sanchez G, Castro C. From the model of integral attention to the creation of centers of excellence in rheumatoid arthritis. Clinical rheumatology2015;(34Suppl 1):S71–7. <h3>Disclosure of Interest</h3> None declared