- Title
- What does high value care for musculoskeletal conditions mean and how do you apply it in practice? A consensus statement from a research network of physiotherapists in New South Wales, Australia
- Creator
- Gleadhill, Connor; Dooley, Katherine; Barnett, Chris; Renfrew, David; Lamond, Stephen; Boettcher, Craig Edward; Chambers, Lucia; Maude, Travis; Davis, Jon; Hodgson, Stephanie; Makaroff, Andrew; Wallace, James B.; Kamper, Stephen J.; Kotrick, Kelly; Mullen, Nicholas; Gallagher, Ryan; Zelinski, Samuel; Watson, Toby; Davidson, Simon; Viana Da Silva, Priscilla; Mahon, Benjamin; Delore, Caitlin; Manvell, Joshua; Manvell, Nicole; Gibbs, Benedicta; Hook, Chris; Stoddard, Chris; Meers, Elliot; Byrne, Michael; Schneider, Tim; Bolsewicz, Katarzyna; Williams, Christopher Michael; Corrigan, Michael; Cashin, Aidan; Birchill, Noah; Donald, Bruce; Leyland, Murray; Delbridge, Andrew
- Relation
- BMJ Open Vol. 13, Issue 6, no. e071489
- Publisher Link
- http://dx.doi.org/10.1136/bmjopen-2022-071489
- Publisher
- BMJ Group
- Resource Type
- journal article
- Date
- 2023
- Description
- 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.
- Subject
- musculoskeletal conditions; high value care; physical therapists; consensus
- Identifier
- http://hdl.handle.net/1959.13/1488515
- Identifier
- uon:52469
- Identifier
- ISSN:2044-6055
- Rights
- X
- Language
- eng
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