Cook Chad E, Denninger Thomas, Lewis Jeremy, Diener Ina, Thigpen Charles
Department of Physical and Occupational Therapy, Duke University Health System, 3475 Erwin Rd, Durham, NC, 27705, USA.
Department of Orthopaedic Surgery, Duke University Medical Center, 3475 Erwin Rd, Durham, NC, 27705, USA.
Arch Physiother. 2021 Apr 20;11(1):12. doi: 10.1186/s40945-021-00107-0.
Despite millions spent in research funding, studies, and guidelines, outcomes involving musculoskeletal care continue to decline. The purpose of this Viewpoint is to describe value-based care and to suggest measures for its adoption by physiotherapists who manage individuals with musculoskeletal related pain disorders.
The provision of value-based care is best defined as care that includes: 1) patient centeredness, 2) guideline-oriented, integrated strategies, 3) measurement of patient outcomes and experiences, and 4) cost effectiveness. Physiotherapists are well positioned to be leaders in the application of value-based care by assuring they address each of the four strategies during the daily patient encounter. This Viewpoint discusses strategies for application to clinical practice.
By implementing value-based care principals, physiotherapists could assure that patients with musculoskeletal related pain disorders receive the right care at the right time, by the right provider.
尽管在研究资金、研究和指南方面投入了数百万美元，但肌肉骨骼护理的结果仍在持续下降。本观点文章的目的是描述基于价值的护理，并为管理肌肉骨骼相关疼痛疾病患者的物理治疗师提出采用该护理模式的措施。
基于价值的护理的最佳定义为包含以下内容的护理：1）以患者为中心；2）以指南为导向的综合策略；3）对患者结局和体验的衡量；4）成本效益。物理治疗师通过确保在日常患者诊疗过程中落实上述四项策略，完全有能力成为应用基于价值的护理的领导者。本观点文章讨论了应用于临床实践的策略。
通过实施基于价值的护理原则，物理治疗师可以确保患有肌肉骨骼相关疼痛疾病的患者在正确的时间由合适的提供者获得正确的护理。
