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Self reported quality care for knee osteoarthritis: comparisons across Denmark, Norway, Portugal and UK

Østerås, N; Jordan, K P; Clausen, B; Cordeiro, C; Dziedzic, K; Edwards, J; Grønhaug, G; Higginbottom, A; Lund, H; Pacheco, G; Pais, S; Hagen, K B

Self reported quality care for knee osteoarthritis: comparisons across Denmark, Norway, Portugal and UK Thumbnail


Authors

N Østerås

B Clausen

C Cordeiro

J Edwards

G Grønhaug

A Higginbottom

H Lund

G Pacheco

S Pais

K B Hagen



Abstract

Objectives To assess and compare patient perceived quality of osteoarthritis (OA) management in primary healthcare in Denmark, Norway, Portugal and the UK.

Methods Participants consulting with clinical signs and symptoms of knee OA were identified in 30 general practices and invited to complete a cross-sectional survey including quality indicators (QI) for OA care. A QI was considered as eligible if the participant had checked ‘Yes’ or ‘No’, and as achieved if the participant had checked ‘Yes’ to the indicator. The median percentage (with IQR and range) of eligible QIs achieved by country was determined and compared in negative binominal regression analysis. Achievement of individual QIs by country was determined and compared using logistic regression analyses.

Results A total of 354 participants self-reported QI achievement. The median percentage of eligible QIs achieved (checked ‘Yes’) was 48% (IQR 28%, 64%; range 0–100%) for the total sample with relatively similar medians across three of four countries. Achievement rates on individual QIs showed a large variation ranging from 11% (referral to services for losing weight) to 67% (information about the importance of exercise) with significant differences in achievement rates between the countries.

Conclusions The results indicated a potential for improvement in OA care in all four countries, but for somewhat different aspects of OA care. By exploring these differences and comparing healthcare services, ideas may be generated on how the quality might be improved across nations. Larger studies are needed to confirm and further explore the findings.

Citation

Østerås, N., Jordan, K. P., Clausen, B., Cordeiro, C., Dziedzic, K., Edwards, J., …Hagen, K. B. (2015). Self reported quality care for knee osteoarthritis: comparisons across Denmark, Norway, Portugal and UK. RMD Open, 1(1), https://doi.org/10.1136/rmdopen-2015-000136

Journal Article Type Article
Acceptance Date Sep 18, 2015
Online Publication Date Oct 20, 2015
Publication Date Oct 20, 2015
Journal RMD Open
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 1
Issue 1
DOI https://doi.org/10.1136/rmdopen-2015-000136
Publisher URL https://doi.org/10.1136/rmdopen-2015-000136

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