Evaluation of the implementation of an integrated program for musculoskeletal system care
| Autor: | Javier Mar, Ricardo San Vicente, Myriam Soto-Gordoa, María Luz Jauregi, Jesús Millas, Igor Larrañaga, Jabier Aguirrebeña, Arantzazu Arrospide |
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| Rok vydání: | 2016 |
| Předmět: |
Program evaluation
Budgets medicine.medical_specialty Quality management medicine.medical_treatment Population Traumatology Disease 03 medical and health sciences 0302 clinical medicine Rheumatology medicine Humans 030212 general & internal medicine Musculoskeletal Diseases education Referral and Consultation education.field_of_study Rehabilitation Primary Health Care business.industry Delivery of Health Care Integrated 030503 health policy & services General Medicine Health Care Costs Models Theoretical Low back pain Quality Improvement Integrated care Spain Chronic Disease Physical therapy medicine.symptom 0305 other medical science business Program Evaluation |
| Zdroj: | Reumatologia clinica. 13(4) |
| ISSN: | 1885-1398 |
| Popis: | Introduction The chronic nature of musculoskeletal diseases requires an integrated care which involves the Primary Care and the specialities of Rheumatology, Traumatology and Rehabilitation. The aim of this study was to assess the implementation of an integrated organizational model in osteoporosis, low back pain, shoulder disease and knee disease using Deming's continuous improvement process and considering referrals and resource consumption. Material and methods A simulation model was used in the planning to predict the evolution of musculoskeletal diseases resource consumption and to carry out a Budget Impact Analysis from 2012 to 2020 in the Goierri-Alto Urola region. In the checking stage the status of the process in 2014 was evaluated using statistical analysis to check the degree of achievement of the objectives for each speciality. Results Simulation models showed that population with musculoskeletal disease in Goierri-Alto Urola will increase a 4.4% by 2020. Because of that, the expenses for a conventional healthcare system will have increased a 5.9%. However, if the intervention reaches its objectives the budget would decrease an 8.5%. The statistical analysis evidenced a decline in referrals to Traumatology service and a reduction of successive consultations in all specialities. Discussion The implementation of the integrated organizational model in osteoporosis, low back pain, shoulder disease and knee disease is still at an early stage. However, the empowerment of Primary Care improved patient referrals and reduced the costs. |
| Databáze: | OpenAIRE |
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