Briggs Andrew M, Page Carolyn J, Shaw Bridget R, Bendrups Andrea, Philip Kathleen, Cary Belinda, Choong Peter F
Professor, School of Physiotherapy and Exercise Science, Curtin University, Perth, St Vincent's Hospital, Melbourne, Australia.
Advanced Musculoskeletal Physiotherapist, St Vincent's Hospital, Melbourne, Australia.
Healthc Policy. 2018 Nov;14(2):47-58. doi: 10.12927/hcpol.2018.25686.
Osteoarthritis (OA) imposes a significant burden to the person, the health system and the community. Models of Care (MoCs) drive translation of evidence into policy and practice and provide a platform for health system reform. The Victorian MoC for OA of the hip and knee was developed following a best-practice framework, informed by best-evidence and iterative cross-sector consultation, including direct consumer consultation. Governance and external expert advisory committees consisting of local OA care champions facilitated the development and consultation processes. The MoC outlines key components of care, care that is not recommended, and suggests phased implementation strategies. This paper describes the MoC development process and lessons learned.
骨关节炎(OA)给个人、卫生系统和社区带来了沉重负担。照护模式(MoCs)推动将证据转化为政策和实践,并为卫生系统改革提供了一个平台。维多利亚州髋膝关节骨关节炎照护模式是遵循最佳实践框架制定的,该框架以最佳证据和跨部门反复协商为依据,包括直接与消费者协商。由当地骨关节炎照护倡导者组成的治理和外部专家咨询委员会推动了开发和协商过程。该照护模式概述了照护的关键组成部分、不推荐的照护方式,并提出了分阶段实施策略。本文描述了照护模式的开发过程及经验教训。