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Challenges and controversies of complex interventions in osteoarthritis management: recognizing inappropriate and discordant care

Dziedzic, Krysia S; Allen, Kelli D

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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.

Citation

Dziedzic, K. S., & Allen, K. D. (2018). Challenges and controversies of complex interventions in osteoarthritis management: recognizing inappropriate and discordant care. Rheumatology, 57(S4), 88 - 98. https://doi.org/10.1093/rheumatology/key062

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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