Harnessing and supporting consumer involvement in the development and implementation of Models of Care for musculoskeletal health

Walsh, Louisa; Hill, Sophie; Wluka, Anita E.; Brooks, Peter; Buchbinder, Rachelle; Cahill, Ainslie; Dans, Leonila F.; Lowe, Dianne; Taylor, Michael J.; Tugwell, Peter

doi:10.1016/j.berh.2016.09.004

Cited by 17 publications

(16 citation statements)

References 45 publications

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“…These unmet needs can help inform improvements to existing models of care and furthermore emphasise the need to involve consumers in implementation of models of care. Promising strategies for involving consumers when designing and delivering models of care, include consumer involvement in: developing guidelines, identifying barriers to implementation and tailoring implementation strategies [58]. By focusing on working-age adults, we extend previous research, which has focused primarily on older people.…”

Section: Discussionmentioning

confidence: 99%

Associations between multimorbidity and additional burden for working-age adults with specific forms of musculoskeletal conditions: a cross-sectional study

Lowe

Taylor

Hill

2017

BMC Musculoskelet Disord

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BackgroundMultiple health conditions are increasingly a problem for adults with musculoskeletal conditions. However, multimorbidity research has focused primarily on the elderly and those with a limited subset of musculoskeletal disorders. We sought to determine whether associations between multimorbidity and additional burden differ with specific forms of musculoskeletal conditions among working-age adults.MethodsData were sourced from a nationally representative Australian survey. Specific musculoskeletal conditions examined were osteoarthritis; inflammatory arthritis; other forms of arthritis or arthropathies; musculoskeletal conditions not elsewhere specified; gout; back pain; soft tissue disorders; or osteoporosis. Multimorbidity was defined as the additional presence of one or more of the Australian National Health Priority Area conditions. Burden was assessed by self-reported measures of: (i) self-rated health (ii) musculoskeletal-related healthcare and medicines utilisation and, (iii) general healthcare utilisation. Associations between multimorbidity and additional health or healthcare utilisation burden among working-age adults (aged 18 – 64 years of age) with specific musculoskeletal conditions were estimated using logistic regression, adjusting for confounders. Interaction terms were fitted to identify whether there were specific musculoskeletal conditions where multimorbidity was more strongly associated with poorer health or greater healthcare utilisation than in the remaining musculoskeletal group.ResultsAmong working-age adults, for each of the specified musculoskeletal conditions, multimorbidity was associated with similar, increased likelihood of additional self-rated health burden and certain types of healthcare utilisation. While there were differences in the relationships between multimorbidity and burden for each of the specific musculoskeletal conditions, no one specific musculoskeletal condition appeared to be consistently associated with greater additional health burden in the presence of multimorbidity across the majority of self-rated health burden and healthcare use measures.ConclusionsFor working-age people with any musculoskeletal conditions examined here, multimorbidity increases self-reported health and healthcare utilisation burden. As no one musculoskeletal condition appears consistently worse off in the presence of multimorbidity, there is a need to better understand and identify strategies that acknowledge and address the additional burden of concomitant conditions for working-age adults with a range of musculoskeletal conditions.

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Section: Discussionmentioning

confidence: 99%

Associations between multimorbidity and additional burden for working-age adults with specific forms of musculoskeletal conditions: a cross-sectional study

Lowe

Taylor

Hill

2017

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

Section: How Can We Manage These Needs?mentioning

confidence: 99%

“…Developing more effective and efficient models of care may be facilitated by involving patients in their planning 15 . Health information materials need to be produced in collaboration between health professionals and consumers, to ensure they are relevant, targeted to patients' needs, and disseminated appropriately 15 . Involvement of patient representatives in developing clinical practice guidelines that manage the patient holistically by incorporating their perspective may be more closely aligned to their perceived needs 15 .…”

Section: How Can We Manage These Needs?mentioning

confidence: 99%

“…Health information materials need to be produced in collaboration between health professionals and consumers, to ensure they are relevant, targeted to patients' needs, and disseminated appropriately 15 . Involvement of patient representatives in developing clinical practice guidelines that manage the patient holistically by incorporating their perspective may be more closely aligned to their perceived needs 15 . Investigation of patient‐focused strategies, providing interventions tailored to different care settings, patient populations, economies and health care systems may provide novel, effective solutions 15 …”

Section: How Can We Manage These Needs?mentioning

confidence: 99%

“…Involvement of patient representatives in developing clinical practice guidelines that manage the patient holistically by incorporating their perspective may be more closely aligned to their perceived needs 15 . Investigation of patient‐focused strategies, providing interventions tailored to different care settings, patient populations, economies and health care systems may provide novel, effective solutions 15 …”

Section: How Can We Manage These Needs?mentioning

confidence: 99%

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Patient‐centred management of inflammatory arthritis: more than just disease control

Chou

Briggs²,

Wluka

2017

Medical Journal of Australia

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Burden of musculoskeletal disorders in Iran during 1990–2017: estimates from the Global Burden of Disease Study 2017

et al. 2020

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Harnessing and supporting consumer involvement in the development and implementation of Models of Care for musculoskeletal health

Cited by 17 publications

References 45 publications

Associations between multimorbidity and additional burden for working-age adults with specific forms of musculoskeletal conditions: a cross-sectional study

Associations between multimorbidity and additional burden for working-age adults with specific forms of musculoskeletal conditions: a cross-sectional study

Patient‐centred management of inflammatory arthritis: more than just disease control

Burden of musculoskeletal disorders in Iran during 1990–2017: estimates from the Global Burden of Disease Study 2017

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