Junge Tina, Kjaer P
Health Sciences Research Centre, UCL University College, Niels Bohrs Allé 1, Odense, 5230, Denmark.
Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
BMC Musculoskelet Disord. 2024 Dec 19;25(1):1038. doi: 10.1186/s12891-024-08168-5.
In Denmark, the organization and content of rehabilitation for people with back problems vary by municipality. Furthermore, there is no systematic evaluation of the overall effect and quality of municipal rehabilitation efforts. Since individuals with long-lasting back problems often receive multiple interventions delivered by various professionals, departments, and sectors, a coordinated effort is essential within complex systems, like municipal organizations. Therefore, the Municipality of Svendborg, the University of Southern Denmark, and UCL University College aim to co-design an improved municipal rehabilitation program with and for individuals with back problems, within the existing municipal context. The new practices developed in the program seek to better support individuals to manage everyday life with back problems, develop effective rehabilitation practices, and decrease the associated municipal costs.
My Back is a mixed-method research study, utilizing a Plan-Do-Study-Act (PDSA) approach to ensure iterative development and continuous improvement of municipal rehabilitation practices. This study is structured into several work packages (WPs) that focus on identifying experiences (WP 1), mapping current practices (WP 2), summarizing relevant literature (WP 3), conducting co-design workshops (WP 4), and the development and implementation of new rehabilitation practices via PDSA cycles (WP 5). These WPs will inform the development and implementation of new rehabilitation practices, which will be evaluated for quality and effectiveness (WP 6), and system-level changes (WP 7), followed by dissemination of results (WP 8).
Through a local co-design process involving individuals with back problems, municipal professionals, and leaders, we expect strong relevance and engagement, ensuring successful implementation. The new practices aim to better support people with back problems to manage everyday life through improved rehabilitation and interdisciplinary collaboration among municipal social and health professionals. A platform model for monitoring local rehabilitation will be introduced to evaluate workability and economic implications within the target population. The knowledge and results from this study can be disseminated and adapted to public contexts throughout Denmark and potentially other countries with similar municipal healthcare structures. Sharing best practices and lessons learned from the implementation process can inform rehabilitation practices in different international settings.
在丹麦，针对背部问题患者的康复组织形式和内容因市政当局而异。此外，对于市政当局康复工作的整体效果和质量，尚无系统评估。由于长期存在背部问题的个体常常接受由不同专业人员、部门和领域提供的多种干预措施，在像市政组织这样的复杂系统中，协同努力至关重要。因此，斯文堡市政当局、南丹麦大学和伦敦大学学院（UCL）的大学学院旨在在现有的市政环境中，与背部问题患者共同设计并为其制定一个改进的市政康复计划。该计划中开发的新做法旨在更好地支持个体应对背部问题的日常生活，制定有效的康复措施，并降低相关的市政成本。
“我的背部”是一项混合方法的研究，采用计划 - 实施 - 研究 - 改进（PDSA）方法，以确保市政康复实践的迭代发展和持续改进。本研究分为几个工作包（WP），重点在于识别经验（工作包1）、梳理当前实践（工作包2）、总结相关文献（工作包3）、举办协同设计研讨会（工作包4），以及通过PDSA循环开发和实施新的康复实践（工作包5）。这些工作包将为新康复实践的开发和实施提供信息，新实践将接受质量和有效性评估（工作包6）以及系统层面的变革评估（工作包7），随后进行结果传播（工作包8）。
通过一个涉及背部问题患者、市政专业人员和领导者的地方协同设计过程，我们期望实现高度的相关性和参与度，确保成功实施。新做法旨在通过改善康复以及市政社会和卫生专业人员之间的跨学科协作，更好地支持背部问题患者应对日常生活。将引入一个监测地方康复的平台模型，以评估目标人群中的可行性和经济影响。本研究的知识和结果可以传播并适用于丹麦各地的公共环境，甚至可能适用于其他具有类似市政医疗结构的国家。分享实施过程中的最佳实践和经验教训可为不同国际环境下的康复实践提供参考。
