Quality Indicators for the Primary and Community Care of Musculoskeletal Conditions: A Systematic Review: Quality Indicators for MSK Conditions.

Braybrooke, Alexander; Baraks, Karl; Burgess, Roanna; Banerjee, Anirban; Hill, Jonathan

Abstract

To identify, appraise, and synthesise common themes from quality indicator (QI) sets designed for the assessment, management, and rehabilitation of musculoskeletal conditions in primary and community care contexts. A systematic search was performed on six databases (MEDLINE, EMBASE, AMED, Web of Sciences Core Collection, The Cochrane Library, and The Health Management Information Consortium), public repositories, and the websites of organisations involved in the reporting of musculoskeletal QIs. Potential QI sources were screened for relevance using a priori criteria. After the screening of 1493 titles, abstracts, 71 articles were reviewed independently by two authors, of which 25 met our criteria and were therefore included within the review. The development of the QI sets was appraised using the AIRE instrument. Key characteristics of QI sets were extracted and tabulated. Nine out of 25 QI sets had 'high' developmental methodology quality. A total of 410 QIs were identified from 25 QI sets. A narrative synthesis was undertaken to identify common themes among QIs. Themes were mapped against improvement-drivers mentioned in recent British primary/community musculoskeletal care policy directives. Finally, 'Draft Indicators' were synthesised from common themes identified. Eleven overarching themes were synthesised: policy and governance; optimising access and provision of care; staffing and spending; optimising assessment and diagnosis; optimising patient education and self-management; pharmacology and injection guideline adherence; optimising personalised care; optimising imaging, investigations, and referral; public health management relevant to musculoskeletal conditions; optimising patient experience; and optimising patient outcomes. This review has identified common themes among QIs that focus on optimising assessment, investigations, and treatment decisions for the primary/community care of musculoskeletal conditions. This work represents a valuable resource to commissioners, service managers and clinicians internationally who resource, monitor, manage, assess, and rehabilitate individuals with musculoskeletal conditions. CRD42023467633. [Abstract copyright: Copyright © 2024. Published by Elsevier Inc.]

Citation

Braybrooke, A., Baraks, K., Burgess, R., Banerjee, A., & Hill, J. (in press). Quality Indicators for the Primary and Community Care of Musculoskeletal Conditions: A Systematic Review: Quality Indicators for MSK Conditions. Archives of Physical Medicine and Rehabilitation, https://doi.org/10.1016/j.apmr.2024.08.022

• Journal Article Type: Review
• Acceptance Date: Aug 27, 2024
• Online Publication Date: Oct 4, 2024
• Deposit Date: Nov 8, 2024
• Journal: Archives of physical medicine and rehabilitation
• Print ISSN: 0003-9993
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• DOI: https://doi.org/10.1016/j.apmr.2024.08.022
• Keywords: Musculoskeletal Conditions, Community Care, Low back pain, Primary Care, Osteoarthritis, Quality Indicators, Key Performance Indicators
• Public URL: https://keele-repository.worktribe.com/output/955533
• Publisher URL: https://www.sciencedirect.com/science/article/pii/S0003999324012280?via%3Dihub