Building the OAChangeMap to improve the service delivery of the New South Wales Osteoarthritis Chronic Care Program: a worked example of using a co-design framework.

Autor: Eyles JP; Kolling Institute, The University of Sydney, Royal North Shore Hospital, Sydney, NSW, Australia., Kobayashi S; Kolling Institute, The University of Sydney, Royal North Shore Hospital, Sydney, NSW, Australia., Duong V; Kolling Institute, The University of Sydney, Royal North Shore Hospital, Sydney, NSW, Australia., Hunter DJ; Kolling Institute, The University of Sydney, Royal North Shore Hospital, Sydney, NSW, Australia., Avdalis C; Royal North Shore Hospital, Sydney, NSW, Australia., Buttel T; Consumer Investigator, Sydney, NSW, Australia., Dawson G; Sax Institute, Sydney, NSW, Australia., Dório M; Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil., D'Souza N; Westmead Hospital, University of Sydney, Sydney, NSW, Australia., Foster K; The University of Queensland, St Lucia, QLD, Australia., Maka K; Westmead Hospital, Sydney, NSW, Australia., March MK; Blacktown Mt Druitt Hospitals, Sydney, NSW, Australia., Menz F; Royal Prince Alfred Hospital, Sydney, NSW, Australia., Pratt C; Royal North Shore Hospital, Sydney, NSW, Australia., Rankin NM; The University of Melbourne, Melbourne, VIC, University of Sydney, Sydney, NSW, Australia., Richardson D; Hornsby Ku-ring-gai Hospital, Sydney, NSW, Australia., Thompson J; NSW Agency for Clinical Innovation, Sydney, NSW, Australia., Strong C; Royal North Shore Hospital, Sydney, NSW, Australia., Bowden JL; Kolling Institute, The University of Sydney, Royal North Shore Hospital, Sydney, NSW, 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 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, prioritise the barriers, and generate strategies to address them.
Methods: This study provides a worked example of a seven-step theory-informed co-design framework. We invited OACCP coordinators to participate in semi-structured interviews (analysed 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, researchers) to prioritise the barriers via a short survey (survey 2). We held five co-design workshops where 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: 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 co-designed a plan for action with patient educational materials, shared decision-making tools, and health professional education and training.
Conclusion: Our worked example of co-design used a theory-based, data driven approach with key stakeholders, identified and prioritised barriers to the delivery of the OACCP, acknowledged enablers, and generated a plan for feasible strategies to improve the program.
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Databáze: MEDLINE
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