| Autor: |
Steven J Kamper, Simon Davidson, Priscilla Viana da Silva, Connor Gleadhill, Aidan Cashin, Michael Byrne, Christopher Michael Williams, James B Wallace, Katherine Dooley, Nicole Manvell, Michael Corrigan, Noah Birchill, Bruce Donald, Murray Leyland, Andrew Delbridge, Chris Barnett, David Renfrew, Steven Lamond, Craig Edward Boettcher, Lucia Chambers, Travis Maude, Jon Davis, Stephanie Hodgson, Andrew Makaroff, Kelly Kotrick, Nicholas Mullen, Ryan Gallagher, Samuel Zelinski, Toby Watson, Benjamin Mahon, Caitlin Delore, Joshua Manvell, Benedicta Gibbs, Chris Hook, Chris Stoddard, Elliot Meers, Tim Schneider, Katarzyna Bolsewicz |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
BMJ Open, Vol 13, Iss 6 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2022-071489 |
| Popis: |
Objectives To develop a physiotherapist-led consensus statement on the definition and provision of high-value care for people with musculoskeletal conditions.Design We performed a three-stage study using Research And Development/University of California Los Angeles Appropriateness Method methodology. We reviewed evidence about current definitions through a rapid literature review and then performed a survey and interviews with network members to gather consensus. Consensus was finalised in a face-to-face meeting.Setting Australian primary care.Participants Registered physiotherapists who are members of a practice-based research network (n=31).Results The rapid review revealed two definitions, four domains of high value care and seven themes of high-quality care. Online survey responses (n=26) and interviews (n=9) generated two additional high-quality care themes, a definition of low-value care, and 21 statements on the application of high value care. Consensus was reached for three working definitions (high value, high-quality and low value care), a final model of four high value care domains (high-quality care, patient values, cost-effectiveness, reducing waste), nine high-quality care themes and 15 statements on application.Conclusion High value care for musculoskeletal conditions delivers most value for the patient, and the clinical benefits outweigh the costs to the individual or system providing the care. High-quality care is evidence based, effective and safe care that is patient-centred, consistent, accountable, timely, equitable and allows easy interaction with healthcare providers and healthcare systems. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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