Building the OAChangeMap to Improve the Service Delivery of the New South Wales Osteoarthritis Chronic Care Program: A Worked Example of Using a Codesign Framework.

Autor: Eyles JP; The University of Sydney and Royal North Shore Hospital, Sydney, New South Wales, Australia., Kobayashi S; The University of Sydney and Royal North Shore Hospital, Sydney, New South Wales, Australia., Duong V; The University of Sydney and Royal North Shore Hospital, Sydney, New South Wales, Australia., Hunter DJ; The University of Sydney and Royal North Shore Hospital, Sydney, New South Wales, Australia., Avdalis C; Royal North Shore Hospital, Sydney, New South Wales, Australia., Buttel T; Consumer Investigator, Sydney, New South Wales, Australia., Dawson G; Sax Institute, Sydney, New South Wales, Australia., Dório M; Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil., D'Souza N; Westmead Hospital and University of Sydney, Sydney, New South Wales, Australia., Foster K; The University of Queensland, St Lucia, Queensland, Australia., Maka K; Westmead Hospital, Sydney, New South Wales, Australia., March MK; Blacktown Mt Druitt Hospitals, Sydney, New South Wales, Australia., Menz F; Royal Prince Alfred Hospital, Sydney, New South Wales, Australia., Pratt C; Royal North Shore Hospital, Sydney, New South Wales, Australia., Rankin NM; The University of Melbourne, Melbourne, Victoria, Australia, and University of Sydney, Sydney, New South Wales, Australia., Richardson D; Hornsby Ku-ring-gai Hospital, Sydney, New South Wales, Australia., Thompson J; Agency for Clinical Innovation, Sydney, New South Wales, Australia., Strong C; Royal North Shore Hospital, Sydney, New South Wales, Australia., Bowden JL; The University of Sydney and Royal North Shore Hospital, Sydney, New South Wales, Australia.
Jazyk: angličtina
Zdroj: Arthritis care & research [Arthritis Care Res (Hoboken)] 2024 Oct 28. Date of Electronic Publication: 2024 Oct 28.
DOI: 10.1002/acr.25454
Abstrakt: Objective: The Osteoarthritis Chronic Care Program (OACCP) has been implemented in Australian public hospitals to deliver best evidence osteoarthritis (OA) care. It is important to ensure that the OACCP continues to deliver evidence-based OA care as intended. We aimed to identify barriers and enablers to delivering the OACCP, prioritize the barriers, and generate strategies to address them.
Methods: This study provides a worked example of a seven-step theory-informed codesign framework. We invited OACCP coordinators to participate in semistructured interviews (analyzed thematically) and complete a questionnaire to identify barriers and enablers to delivery of the OACCP. We then invited a broader group of stakeholders (OACCP coordinators, health managers, policy makers, consumers, and researchers) to prioritize the barriers via a short survey (survey 2). We held five codesign workshops in which we mapped the priority barriers to the Theoretical Domains Framework and developed strategies to address them.
Results: Sixteen coordinators were interviewed, and the main barriers identified were as follows: (1) patients often have beliefs that are inconsistent with best evidence care, (2) there are aspects of clinical care that are not delivered optimally, and (3) system-level factors are a barrier to optimal patient care and sustainability of the OACCP. We codesigned a plan for action with patient educational materials, shared decision-making tools, and health professional education and training.
Conclusion: Our worked example of codesign used a theory-based, data-driven approach with key stakeholders, identified and prioritized barriers to the delivery of the OACCP, acknowledged enablers, and generated a plan for feasible strategies to improve the program.
(© 2024 American College of Rheumatology.)
Databáze: MEDLINE
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