Erwin Jo, Chance-Larsen Kenneth, Backhouse Michael, Woolf Anthony D
Bone and Joint Research Group, Royal Cornwall Hospital, Truro.
School of Sport and Health Sciences, University of Central Lancashire, Preston.
Rheumatol Adv Pract. 2020 Jan 7;4(1):rkz048. doi: 10.1093/rap/rkz048. eCollection 2020.
This research was conducted to support the development of the Musculoskeletal (MSK) Health Capabilities Framework to ensure that the framework reflected patients' priorities. The aim of this study was to explore what patients with MSK problems want from their initial consultation with a first contact health practitioner and, from the patient perspective, what characterizes a good first contact health practitioner.
Focus groups were held in four locations across England. Sixteen participants, aged 19-75 years and with a self-declared MSK condition, took part (11 female, five male). Participants discussed the questions they want answered when first going to see a health professional about an MSK problem and how they would describe a good first contact health provider.
Participants wanted answers to questions about the nature of the problem, the management of the problem, where to get information and support to help themselves, what activities they can do and what the future holds. Values and behaviours they expect and value from first contact health practitioners include good communication skills, appreciation of impact, a willingness to discuss alternative and complementary therapies, shared decision-making and an awareness of their own limitations and when to refer.
The MSK core capabilities framework for first contact health practitioners aims to ensure a person-centred approach in the first stages of managing any MSK problem with which a person may present. The focus groups enabled the developers of the framework to achieve a greater understanding of patient priorities, expectations and needs and allowed the patient perspective to be included in this national framework.
开展本研究以支持肌肉骨骼（MSK）健康能力框架的制定，确保该框架反映患者的优先事项。本研究的目的是探究患有MSK问题的患者在首次与一线医疗从业者咨询时的期望，以及从患者角度来看，一名优秀的一线医疗从业者的特征是什么。
在英格兰的四个地点举行了焦点小组讨论。16名年龄在19至75岁之间、自我宣称患有MSK疾病的参与者参加了讨论（11名女性，5名男性）。参与者讨论了他们首次就MSK问题去看医疗专业人员时希望得到解答的问题，以及他们会如何描述一名优秀的一线医疗服务提供者。
参与者希望得到有关问题性质、问题管理、从何处获取帮助自己的信息和支持、他们可以进行哪些活动以及未来情况等问题的答案。他们期望并重视一线医疗从业者具备的价值观和行为包括良好的沟通技巧、对影响的理解、愿意讨论替代疗法和补充疗法、共同决策以及意识到自身的局限性和何时进行转诊。
一线医疗从业者的MSK核心能力框架旨在确保在处理任何人可能出现的任何MSK问题的初始阶段采用以患者为中心的方法。焦点小组讨论使该框架的开发者能够更好地理解患者的优先事项、期望和需求，并将患者的观点纳入这个国家框架。
