Abstract
Introduction:
People with musculoskeletal conditions in regional NSW often do not receive high value physiotherapy care. This is partly because the definition of high value care isn’t clear, so physiotherapists are unsure how to provide it. The Research in Practice Network (RIPN) (Hunter region, NSW) aimed to develop a physiotherapist-lead consensus statement on the definition and provision of high-value care for people with musculoskeletal conditions.
Methods:
Stage 1: A rapid literature review identified existing definitions and themes of high-value care. To develop a conceptual model data was analysed thematically.
Stage 2: Network members then completed online surveys and follow-up interviews to provide opinions on Stage 1 results.
Stage 3: Changes to the original conceptual model and consensus statements about providing high value care were agreed upon at a consensus meeting of network members.
Results/Outcomes:
Stage 1: High-value care is defined and influenced by stakeholders and encompasses four domains (cost effectiveness; patient values; reducing waste; high-quality care), with high-quality care consisting of an additional seven domains.
Stage 2: Online survey responses (n=26) and interviews (n=9) generated two additional high-quality care domains, a definition of low-value care, and 21 statements on definition and application of high value care.
Stage 3: Consensus was reached on additional domains and 15 statements.
Discussion/Learnings Conclusion:
This work highlights regional physiotherapists’ perspective on high value care for musculoskeletal conditions. Applying high value care involves skilfully balancing eight interacting themes of high-quality care and carefully considering the overlaying constructs of patient values, cost effectiveness, and reducing waste.
People with musculoskeletal conditions in regional NSW often do not receive high value physiotherapy care. This is partly because the definition of high value care isn’t clear, so physiotherapists are unsure how to provide it. The Research in Practice Network (RIPN) (Hunter region, NSW) aimed to develop a physiotherapist-lead consensus statement on the definition and provision of high-value care for people with musculoskeletal conditions.
Methods:
Stage 1: A rapid literature review identified existing definitions and themes of high-value care. To develop a conceptual model data was analysed thematically.
Stage 2: Network members then completed online surveys and follow-up interviews to provide opinions on Stage 1 results.
Stage 3: Changes to the original conceptual model and consensus statements about providing high value care were agreed upon at a consensus meeting of network members.
Results/Outcomes:
Stage 1: High-value care is defined and influenced by stakeholders and encompasses four domains (cost effectiveness; patient values; reducing waste; high-quality care), with high-quality care consisting of an additional seven domains.
Stage 2: Online survey responses (n=26) and interviews (n=9) generated two additional high-quality care domains, a definition of low-value care, and 21 statements on definition and application of high value care.
Stage 3: Consensus was reached on additional domains and 15 statements.
Discussion/Learnings Conclusion:
This work highlights regional physiotherapists’ perspective on high value care for musculoskeletal conditions. Applying high value care involves skilfully balancing eight interacting themes of high-quality care and carefully considering the overlaying constructs of patient values, cost effectiveness, and reducing waste.
| Original language | English |
|---|---|
| Publication status | Published - 2022 |
| Event | 14th SARRAH 2022 National Rural and Remote Allied Health Conference - Online Duration: 15 Nov 2022 → 16 Nov 2022 https://sarrah.org.au/cpd/sarrah-conferences/upcoming-conference https://sarrahconference.com.au/ (Conference website) https://web.archive.org/web/20221021054937/https://sarrahconference.com.au/home/program (2022 program) |
Conference
| Conference | 14th SARRAH 2022 National Rural and Remote Allied Health Conference |
|---|---|
| Abbreviated title | People, Purpose, Passion: Pathways to success |
| Period | 15/11/22 → 16/11/22 |
| Other | This year’s theme – People, Purpose Passion: Pathways to Success with the sub-themes of Growing and Sustaining the Rural Allied Health Workforce, Strengthening Partnerships, and Leading Change will provide collaborative opportunities for people live in rural and remote areas and work in allied health sector offering the chance to share knowledge, perspectives, and best practices. The aim of the conference program is to develop sustainable and resilient rural and remote communities and strengthen and support the allied health sector in rural and remote areas, so we can better together in the interest of the communities in rural and remote areas. We will utilise innovative and interactive ways of workshopping and sharing perspectives about how to best unpack the theories, research, and reports into actual practice in the workplace to benefit the allied health sector in rural and remote areas. |
| Internet address |