Professor Krysia Dziedzic k.s.dziedzic@keele.ac.uk
Challenges and controversies of complex interventions in osteoarthritis management: recognizing inappropriate and discordant care
Dziedzic, Krysia S; Allen, Kelli D
Authors
Kelli D Allen
Abstract
A number of controversies and challenges exist for the management of OA in health care. This paper describes the challenges and gaps in OA care, particularly in relation to population health management, complex interventions and outcomes. It sets this in the context of competing health priorities and multimorbidity, access to high quality conservative care, non-pharmacological therapies, resource limitations and models of care. The overuse of some therapies and neglect of others are discussed, as well as the potential for self-management. The roles of patient and public involvement and the healthcare team are highlighted in enhancing best care for OA and providing solutions for closing the evidence-to-practice gap. Implementation of models of care offer one solution to the challenges and progress of such implementation is described. Areas for further research are highlighted.
Journal Article Type | Article |
---|---|
Acceptance Date | Feb 13, 2018 |
Online Publication Date | Apr 17, 2018 |
Publication Date | 2018-05 |
Journal | Rheumatology |
Print ISSN | 1462-0324 |
Publisher | Oxford University Press |
Peer Reviewed | Peer Reviewed |
Volume | 57 |
Issue | S4 |
Pages | 88 - 98 |
DOI | https://doi.org/10.1093/rheumatology/key062 |
Keywords | controversies, challenges, osteoarthritis management, roles, Rheumatology, models of care |
Publisher URL | https://academic.oup.com/rheumatology/article/57/suppl_4/iv88/4975695#115667701 |
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Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/
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