An osteoarthritis model of care should be a national priority for New Zealand

Osteoarthritis is highly prevalent, disabling and costly to the person and the community. The burden of this chronic condition is predicted to increase dramatically over the coming decades. Healthcare spending on osteoarthritis is unsustainable and action is needed to improve care delivery. At prese...

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Main Authors: Baldwin, J., Briggs, Andrew, Bagg, W., Larmer, P.
Format: Journal Article
Published: New Zealand Medical Association 2017
Online Access:https://www.nzma.org.nz/journal
http://hdl.handle.net/20.500.11937/62802
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author Baldwin, J.
Briggs, Andrew
Bagg, W.
Larmer, P.
author_facet Baldwin, J.
Briggs, Andrew
Bagg, W.
Larmer, P.
author_sort Baldwin, J.
building Curtin Institutional Repository
collection Online Access
description Osteoarthritis is highly prevalent, disabling and costly to the person and the community. The burden of this chronic condition is predicted to increase dramatically over the coming decades. Healthcare spending on osteoarthritis is unsustainable and action is needed to improve care delivery. At present, there is an over-emphasis on surgical and pharmacological interventions, despite evidence supporting conservative treatments such as exercise, weight loss and education. While clinical guidelines provide recommendations regarding best practice (ie, what to do), they fail to address how to operationalise these recommendations into clinical practice. Models of care (MoCs) can help bridge the evidence-practice gap by outlining evidence-informed interventions as well as how to implement them within a local system. However, New Zealand has no osteoarthritis MoC. The Mobility Action Programme, funded by the Ministry of Health, is delivering evidence-informed, multi-disciplinary care for osteoarthritis through local initiatives. Although the programme remains under evaluation it presents an opportunity to inform development of a national osteoarthritis MoC for New Zealand. A policy framework, such as a MoC, is needed to scale up successful programs and deliver best practice care nationwide. Ultimately, addressing the burden of osteoarthritis will require system-wide approaches involving public policy responses to target primary prevention.
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spelling curtin-20.500.11937-628022018-05-16T06:03:49Z An osteoarthritis model of care should be a national priority for New Zealand Baldwin, J. Briggs, Andrew Bagg, W. Larmer, P. Osteoarthritis is highly prevalent, disabling and costly to the person and the community. The burden of this chronic condition is predicted to increase dramatically over the coming decades. Healthcare spending on osteoarthritis is unsustainable and action is needed to improve care delivery. At present, there is an over-emphasis on surgical and pharmacological interventions, despite evidence supporting conservative treatments such as exercise, weight loss and education. While clinical guidelines provide recommendations regarding best practice (ie, what to do), they fail to address how to operationalise these recommendations into clinical practice. Models of care (MoCs) can help bridge the evidence-practice gap by outlining evidence-informed interventions as well as how to implement them within a local system. However, New Zealand has no osteoarthritis MoC. The Mobility Action Programme, funded by the Ministry of Health, is delivering evidence-informed, multi-disciplinary care for osteoarthritis through local initiatives. Although the programme remains under evaluation it presents an opportunity to inform development of a national osteoarthritis MoC for New Zealand. A policy framework, such as a MoC, is needed to scale up successful programs and deliver best practice care nationwide. Ultimately, addressing the burden of osteoarthritis will require system-wide approaches involving public policy responses to target primary prevention. 2017 Journal Article http://hdl.handle.net/20.500.11937/62802 https://www.nzma.org.nz/journal New Zealand Medical Association unknown
spellingShingle Baldwin, J.
Briggs, Andrew
Bagg, W.
Larmer, P.
An osteoarthritis model of care should be a national priority for New Zealand
title An osteoarthritis model of care should be a national priority for New Zealand
title_full An osteoarthritis model of care should be a national priority for New Zealand
title_fullStr An osteoarthritis model of care should be a national priority for New Zealand
title_full_unstemmed An osteoarthritis model of care should be a national priority for New Zealand
title_short An osteoarthritis model of care should be a national priority for New Zealand
title_sort osteoarthritis model of care should be a national priority for new zealand
url https://www.nzma.org.nz/journal
http://hdl.handle.net/20.500.11937/62802