School of Physiotherapy and Exercise Science, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore; Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433, Singapore.
Best Pract Res Clin Rheumatol. 2016 Jun;30(3):359-374. doi: 10.1016/j.berh.2016.09.009.
Models of Care (MoCs) are increasingly recognised as a system-level enabler to translate evidence for 'what works' into policy and, ultimately, clinical practice. MoCs provide a platform for a reform agenda in health systems by describing not only what care to deliver but also how to deliver it. Given the enormous burden of disease associated with musculoskeletal (MSK) conditions, system-level (macro) reform is needed to drive downstream improvements in MSK healthcare - at the health service (meso) level and at the clinical interface (micro) level. A key challenge in achieving improvements in MSK healthcare is sustainable implementation of reform initiatives, whether they be macro, meso or micro level in scope. In this chapter, we introduce the special issue of the Journal dedicated to implementation of MSK MoCs. We provide a contextual background on MoCs, a synthesis of implementation approaches across care settings covered across the chapters in this themed issued, and perspectives on the evaluation of MoCs.
照护模式(MoC)越来越被认为是一种系统层面的推动者,可将“有效做法”的证据转化为政策,并最终转化为临床实践。MoC 为卫生系统的改革议程提供了一个平台,不仅描述了要提供什么样的照护,还描述了如何提供照护。鉴于与肌肉骨骼(MSK)疾病相关的巨大疾病负担,需要进行系统层面(宏观)改革,以推动 MSK 医疗保健在卫生服务(中观)层面和临床界面(微观)层面的下游改善。在 MSK 医疗保健方面取得改善的一个关键挑战是可持续实施改革举措,无论其范围是宏观、中观还是微观层面。在本章中,我们介绍了专门针对 MSK MoC 实施的期刊特刊。我们提供了 MoC 的背景知识,对涵盖在本主题特刊各章中的不同照护环境下实施方法进行了综合,还介绍了 MoC 评估的观点。