Barriers Impeding the Use of Non-pharmacological, Non-surgical Care in Hip and Knee Osteoarthritis
| Autor: | Selten, E.M.H., Vriezekolk, J.E., Nijhof, M.W., Schers, H.J., van der Meulen-Dilling, R.G., Van der Laan, W.H., Geenen, R., van den Ende, C.H.M., Leerstoel Geenen, Stress and self-regulation |
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| Rok vydání: | 2017 |
| Předmět: |
Complementary Therapies
Male musculoskeletal diseases Health Knowledge Attitudes Practice medicine.medical_specialty genetic structures Attitude of Health Personnel Health Personnel MEDLINE non-surgical Health Promotion Osteoarthritis Conservative Treatment Osteoarthritis Hip Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] non-pharmacological 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center 0302 clinical medicine Rheumatology otorhinolaryngologic diseases medicine Hip osteoarthritis Humans 030212 general & internal medicine Physical Therapy Modalities Qualitative Research Non pharmacological 030203 arthritis & rheumatology business.industry Surgical care Osteoarthritis Knee medicine.disease osteoarthritis healthcare providers Treatment modality Inflammatory diseases Radboud Institute for Health Sciences [Radboudumc 5] Physical therapy Female business Healthcare providers psychological phenomena and processes Qualitative research |
| Zdroj: | Journal of Clinical Rheumatology, 23, 8, pp. 405-410 Journal of Clinical Rheumatology, 23, 405-410 Journal of Clinical Rheumatology, 23(8), 405. Lippincott Williams and Wilkins |
| ISSN: | 1076-1608 |
| DOI: | 10.1097/rhu.0000000000000562 |
| Popis: | Background: Non-pharmacological, non-surgical treatment modalities are underused in the management of knee and hip osteoarthritis (OA). One possible explanation for this could be healthcare providers’ opinions about these treatment modalities. The objective of this qualitative study was to identify healthcare providers’ views on non-pharmacological, non-surgical care for OA. Methods: Semi-structured in-depth interviews with 24 healthcare providers (rheumatologists, orthopedic surgeons, physical therapists and general practitioners) were held. Interviews were transcribed verbatim and analyzed using a three-step thematic approach. Two independent researchers continuously reflected upon, compared, discussed, and adjusted the codings. Results: Eight themes were identified reflecting three main barriers to the provision of non-pharmacological, non-surgical care: perceived lack of expertise of the healthcare provider (including a lack of knowledge and skills that are required to support patients), perceived lack of evidence-based treatment (regarding weight management, and the intensity and dosage of physical exercise), and suboptimal organization of care (including hampered dialogue between disciplines and lack of clarity about the roles and responsibilities of disciplines). Conclusions: Healthcare providers report multiple barriers impeding non-pharmacological, non-surgical care for patients with knee and hip OA. To overcome these barriers, education focused on initiating and supporting lifestyle changes, promotion of interventions according to evidence-based recommendations, and improved organization of care are proposed. |
| Databáze: | OpenAIRE |
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