Patients' perceived health service needs for osteoarthritis (OA) care: a scoping systematic review

OBJECTIVE: To identify and synthesise evidence regarding patients' perceived health service needs related to osteoarthritis (OA). DESIGN: A comprehensive systematic scoping review of MEDLINE, PsycINFO, EMBASE and CINAHL (1990-2016) was performed to capture information regarding patient perceive...

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Main Authors: Papandony, M., Chou, L., Seneviwickrama, M., Cicuttini, F., Lasserre, K., Teichtahl, A., Wang, Y., Briggs, Andrew, Wluka, A.
Format: Journal Article
Published: Elsevier 2017
Online Access:http://hdl.handle.net/20.500.11937/52771
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author Papandony, M.
Chou, L.
Seneviwickrama, M.
Cicuttini, F.
Lasserre, K.
Teichtahl, A.
Wang, Y.
Briggs, Andrew
Wluka, A.
author_facet Papandony, M.
Chou, L.
Seneviwickrama, M.
Cicuttini, F.
Lasserre, K.
Teichtahl, A.
Wang, Y.
Briggs, Andrew
Wluka, A.
author_sort Papandony, M.
building Curtin Institutional Repository
collection Online Access
description OBJECTIVE: To identify and synthesise evidence regarding patients' perceived health service needs related to osteoarthritis (OA). DESIGN: A comprehensive systematic scoping review of MEDLINE, PsycINFO, EMBASE and CINAHL (1990-2016) was performed to capture information regarding patient perceived health service needs related to OA. Risk of bias and quality of included articles were assessed. Relevant data were extracted and collated to provide a systematic review of the existing literature. RESULTS: Of the 1384 identified manuscripts, 21 were relevant to areas of patient perceived need, including needs related to medical care, pharmacologic therapy, physiotherapy and exercise therapy and alternative medicine. Key findings included (1) Symptom control drove the need for both conventional and complementary services. (2) An individualized relationship was sought with a practitioner knowledgeable in OA care and who adopted a holistic approach, whether providing conventional or alternative therapies. (3) Medications were required to obtain symptomatic relief, with use tempered by recognition of potential side effects and financial cost. (4) The need for allied health services was recognised, although patient and system issues were barriers to uptake. (5) Patient's attitudes towards joint replacement, orthoses and physical aids were influenced by patient preferences and previous healthcare experiences. CONCLUSION: Patient perceived needs are similar to those suggested by clinical guideline recommendations. Better aligning patient perceived needs with healthcare requirements may improve OA outcomes and optimise healthcare system utilisation.
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spelling curtin-20.500.11937-527712018-02-28T05:36:18Z Patients' perceived health service needs for osteoarthritis (OA) care: a scoping systematic review Papandony, M. Chou, L. Seneviwickrama, M. Cicuttini, F. Lasserre, K. Teichtahl, A. Wang, Y. Briggs, Andrew Wluka, A. OBJECTIVE: To identify and synthesise evidence regarding patients' perceived health service needs related to osteoarthritis (OA). DESIGN: A comprehensive systematic scoping review of MEDLINE, PsycINFO, EMBASE and CINAHL (1990-2016) was performed to capture information regarding patient perceived health service needs related to OA. Risk of bias and quality of included articles were assessed. Relevant data were extracted and collated to provide a systematic review of the existing literature. RESULTS: Of the 1384 identified manuscripts, 21 were relevant to areas of patient perceived need, including needs related to medical care, pharmacologic therapy, physiotherapy and exercise therapy and alternative medicine. Key findings included (1) Symptom control drove the need for both conventional and complementary services. (2) An individualized relationship was sought with a practitioner knowledgeable in OA care and who adopted a holistic approach, whether providing conventional or alternative therapies. (3) Medications were required to obtain symptomatic relief, with use tempered by recognition of potential side effects and financial cost. (4) The need for allied health services was recognised, although patient and system issues were barriers to uptake. (5) Patient's attitudes towards joint replacement, orthoses and physical aids were influenced by patient preferences and previous healthcare experiences. CONCLUSION: Patient perceived needs are similar to those suggested by clinical guideline recommendations. Better aligning patient perceived needs with healthcare requirements may improve OA outcomes and optimise healthcare system utilisation. 2017 Journal Article http://hdl.handle.net/20.500.11937/52771 10.1016/j.joca.2017.02.799 Elsevier fulltext
spellingShingle Papandony, M.
Chou, L.
Seneviwickrama, M.
Cicuttini, F.
Lasserre, K.
Teichtahl, A.
Wang, Y.
Briggs, Andrew
Wluka, A.
Patients' perceived health service needs for osteoarthritis (OA) care: a scoping systematic review
title Patients' perceived health service needs for osteoarthritis (OA) care: a scoping systematic review
title_full Patients' perceived health service needs for osteoarthritis (OA) care: a scoping systematic review
title_fullStr Patients' perceived health service needs for osteoarthritis (OA) care: a scoping systematic review
title_full_unstemmed Patients' perceived health service needs for osteoarthritis (OA) care: a scoping systematic review
title_short Patients' perceived health service needs for osteoarthritis (OA) care: a scoping systematic review
title_sort patients' perceived health service needs for osteoarthritis (oa) care: a scoping systematic review
url http://hdl.handle.net/20.500.11937/52771