Moving from evidence to practice: Models of care for the prevention and management of musculoskeletal conditions

Abstract With musculoskeletal conditions now identified as the second highest cause of the morbidity-related global burden of disease, models of care for the prevention and management of disability related to musculoskeletal conditions are an imperative. Musculoskeletal models of care aim to describ...

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Published in:Best practice & research. Clinical rheumatology 2014-06, Vol.28 (3), p.479-515
Main Authors: Speerin, Robyn, MN, MN (Hons), Slater, Helen, BAppSci (Phthy), MAppSci (Phty), Ph.D., FACP, Li, Linda, BSc (PT), MSc, Ph.D, Moore, Karina, BN, GradDipNurs, Chan, Madelynn, MBBS, MD, FRACP, Dreinhöfer, Karsten, MD, Univ. Prof. Dr. med, Ebeling, Peter R., MBBS, MD, FRACP, Willcock, Simon, MBBS (Hons), Dip Obs, Ph.D., FRACGP, Briggs, Andrew M., BSc(Phthy)Hons, Ph.D
Format: Article
Language:English
Subjects:
Arthritis
Delivery of Health Care - organization & administration
Disability Evaluation
Evidence
Evidence-Based Medicine
Health Policy
Humans
Implementation
Injury
Model of care
Models, Organizational
Musculoskeletal
Musculoskeletal Diseases - diagnosis
Musculoskeletal Diseases - prevention & control
Osteoporosis
Pain
Policy
Rheumatology
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Summary:Abstract With musculoskeletal conditions now identified as the second highest cause of the morbidity-related global burden of disease, models of care for the prevention and management of disability related to musculoskeletal conditions are an imperative. Musculoskeletal models of care aim to describe how to operationalise evidence-based guidelines for musculoskeletal conditions and thus support implementation by clinical teams and their health systems. This review of models of care for musculoskeletal pain conditions, osteoarthritis, rheumatoid arthritis, osteoporosis and musculoskeletal injuries and trauma outlines health system and local implementation strategies to improve consumer outcomes, including supporting access to multidisciplinary teams, improving access for vulnerable populations and levering digital technologies to support access and self-management. However, the challenge remains of how to inform health system decision-makers and policy about the human and fiscal benefits for broad implementation across health services. Recommendations are made for potential solutions, as well as highlighting where further evidence is required.
ISSN:1521-6942
1532-1770
DOI:10.1016/j.berh.2014.07.001