Quality of hip and knee osteoarthritis management in primary health care in a Norwegian county: a cross-sectional survey

Grønhaug, Gudmund; Østerås, Nina; Hagen, Kåre Birger

doi:10.1186/s12913-014-0598-x

Cited by 26 publications

(34 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study used 14 indicators to measure the quality of primary care for OA, and the data on quality were obtained using patient interview and medical records. We found that the mean QI achievement rate was 74%, which is higher than the findings in other studies [17,18,19]. The achievement rates or pharmacological treatment was lower than in the other studies [19].…”

Section: Discussioncontrasting

confidence: 76%

Quality of osteoarthritis care in family medicine - a cross-sectional study

2016

View full text Add to dashboard Cite

Introduction Effective treatments for osteoarthritis are available, yet little is known about the quality of primary care in the Republic of Srpska for this disabling condition. Objective The main objective of this study was to analyze the overall quality of osteoarthritis treatment in a family medicine setting, as well as to explore whether the achievement of quality indicators was associated with particular patient characteristics and severity of osteoarthritis. Methods The cross-sectional study included 120 patients with confirmed hand, knee, and hip osteoarthritis, recruited at seven family practices in the town of Ugljevik, Republic of Srpska, Bosnia and Herzegovina. Data were extracted from a patient questionnaire on quality indicators, as well as from their electronic and paper records, to assess care against 14 indicators. The included quality indicators were based on the Arthritis Foundation's Quality Indicator set for Osteoarthritis. Summary achievement rates for hip, knee, or hand osteoarthritis, as well as for the total sample, were calculated. Results The mean achievement rate for all 14 quality indicators obtained from medical records was 74%, and 77% obtained from patient interview. The quality indicators concerning referral for weight reduction (23%) and pharmacological treatment (24%) had the lowest achievement rates, whereas the highest achievement rates were related to physical examination (100%), pain and functional assessment (100%), and education (90.8%). Patients physical functioning was significantly associated with the quality indicator achievement rate (p = 0.001). Conclusion Pharmacological therapy and the referral of osteoarthritis patients in need of weight reduction seem to have the greatest potential for improvement in primary health care.

show abstract

Section: Discussioncontrasting

confidence: 76%

Quality of osteoarthritis care in family medicine - a cross-sectional study

2016

View full text Add to dashboard Cite

show abstract

“…Despite the evidence supporting TJA rehabilitation for improved patient outcomes and the availability of best practice recommendations [30], marked variations in clinical practice have also been documented by others [19–21, 31]. Because of documented variation in practice, others have advocated that quality assessment of health care, including rehabilitation, should be systematically assessed and evaluated [32]. It should be acknowledged, however, that practice variation at the therapist level is affected by macro level factors including the healthcare structure, financial reimbursement schemes, human resources and cultural influences [19].…”

Section: Discussionmentioning

confidence: 99%

Total joint arthroplasty: practice variation of physiotherapy across the continuum of care in Alberta

Jones

Martin

Westby

et al. 2016

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundComprehensive and timely rehabilitation for total joint arthroplasty (TJA) is needed to maximize recovery from this elective surgical procedure for hip and knee arthritis. Administrative data do not capture the variation of treatment for rehabilitation across the continuum of care for TJA, so we conducted a survey for physiotherapists to report practice for TJA across the continuum of care. The primary objective was to describe the reported practice of physiotherapy for TJA across the continuum of care within the context of a provincial TJA clinical pathway and highlight possible gaps in care.MethodA cross-sectional on-line survey was accessible to licensed physiotherapists in Alberta, Canada for 11 weeks. Physiotherapists who treated at least five patients with TJA annually were asked to complete the survey. The survey consisted of 58 questions grouped into pre-operative, acute care and post-acute rehabilitation. Variation of practice was described in terms of number, duration and type of visits along with goals of care and program delivery methods.ResultsOf the 80 respondents, 26 (33 %) stated they worked in small centres or rural settings in Alberta with the remaining respondents working in two large urban sites. The primary treatment goal differed for each phase across the continuum of care in that pre-operative phase was directed at improving muscle strength, functional activities were commonly reported for acute care, and post-acute phase was directed at improving joint range-of-motion. Proportionally, more physiotherapists from rural areas treated patients in out-patient hospital departments (59 %), whereas a higher proportion in urban physiotherapists saw patients in private clinics (48 %). Across the continuum of care, treatment was primarily delivered on an individual basis rather than in a group format.ConclusionsVariation of practice reported with pre-and post-operative care in the community will stimulate dialogue within the profession as to what is the minimal standard of care to provide patients undergoing TJA.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1873-9) contains supplementary material, which is available to authorized users.

show abstract

“…The incidence of OA continues to increase as the population ages; this condition is also known as degenerative arthritis or senescent arthritis (Rahimzadeh et al, 2014). In China, approximately 60% of aged people suffer from OA, which severely affects their quality of life (Grønhaug et al, 2014). OA is induced by various factors including the age, joint strain, trauma, and weight gain, all of which lead to articular cartilage damage and further cause reactive hyperplasia of articular edge and subchondral bones.…”

Section: Introductionmentioning

confidence: 99%