Chronic disease management: improving care for people with osteoarthritis

Research output: Contribution to journalArticleResearchpeer-review

10 Citations (Scopus)

Abstract

Chronic disease management (CDM) service models are being developed for many conditions; however, there is limited evidence to support their effectiveness in osteoarthritis (OA). A systematic review was undertaken to examine effectiveness, cost effectiveness and barriers to the use of osteoarthritis-chronic disease management (OA-CDM) service models. Thirteen eligible studies (eight randomised controlled trial (RCTs)) were identified. The majority focussed on delivery system design (n = 9) and/or providing self-management support (SMS) (n = 8). Overall, reported model effectiveness varied, and where positive impacts on process or health outcomes were observed, they were of small to moderate effect. There was no information about cost effectiveness. There is some evidence to support the use of collaborative care/multidisciplinary case management models in primary and community care and evidence-based pathways/standardisation of care in hospital settings. Multiple barriers were identified. Future research should focus on identifying the effective components of multi-faceted interventions and evaluating cost-effectiveness to support clinical and policy decision-making.
Original languageEnglish
Pages (from-to)119 - 142
Number of pages24
JournalBest Practice and Research: Clinical Rheumatology
Volume28
Issue number1
DOIs
Publication statusPublished - 2014

Cite this

@article{0374e0fe53b642348ccc5e0eb981286a,
title = "Chronic disease management: improving care for people with osteoarthritis",
abstract = "Chronic disease management (CDM) service models are being developed for many conditions; however, there is limited evidence to support their effectiveness in osteoarthritis (OA). A systematic review was undertaken to examine effectiveness, cost effectiveness and barriers to the use of osteoarthritis-chronic disease management (OA-CDM) service models. Thirteen eligible studies (eight randomised controlled trial (RCTs)) were identified. The majority focussed on delivery system design (n = 9) and/or providing self-management support (SMS) (n = 8). Overall, reported model effectiveness varied, and where positive impacts on process or health outcomes were observed, they were of small to moderate effect. There was no information about cost effectiveness. There is some evidence to support the use of collaborative care/multidisciplinary case management models in primary and community care and evidence-based pathways/standardisation of care in hospital settings. Multiple barriers were identified. Future research should focus on identifying the effective components of multi-faceted interventions and evaluating cost-effectiveness to support clinical and policy decision-making.",
author = "Brand, {Caroline Anne} and Ackerman, {Ilana N} and Joanne Tropea",
year = "2014",
doi = "10.1016/j.berh.2014.01.011",
language = "English",
volume = "28",
pages = "119 -- 142",
journal = "Best Practice and Research: Clinical Rheumatology",
issn = "1521-6942",
publisher = "Elsevier",
number = "1",

}

Chronic disease management: improving care for people with osteoarthritis. / Brand, Caroline Anne; Ackerman, Ilana N; Tropea, Joanne.

In: Best Practice and Research: Clinical Rheumatology, Vol. 28, No. 1, 2014, p. 119 - 142.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Chronic disease management: improving care for people with osteoarthritis

AU - Brand, Caroline Anne

AU - Ackerman, Ilana N

AU - Tropea, Joanne

PY - 2014

Y1 - 2014

N2 - Chronic disease management (CDM) service models are being developed for many conditions; however, there is limited evidence to support their effectiveness in osteoarthritis (OA). A systematic review was undertaken to examine effectiveness, cost effectiveness and barriers to the use of osteoarthritis-chronic disease management (OA-CDM) service models. Thirteen eligible studies (eight randomised controlled trial (RCTs)) were identified. The majority focussed on delivery system design (n = 9) and/or providing self-management support (SMS) (n = 8). Overall, reported model effectiveness varied, and where positive impacts on process or health outcomes were observed, they were of small to moderate effect. There was no information about cost effectiveness. There is some evidence to support the use of collaborative care/multidisciplinary case management models in primary and community care and evidence-based pathways/standardisation of care in hospital settings. Multiple barriers were identified. Future research should focus on identifying the effective components of multi-faceted interventions and evaluating cost-effectiveness to support clinical and policy decision-making.

AB - Chronic disease management (CDM) service models are being developed for many conditions; however, there is limited evidence to support their effectiveness in osteoarthritis (OA). A systematic review was undertaken to examine effectiveness, cost effectiveness and barriers to the use of osteoarthritis-chronic disease management (OA-CDM) service models. Thirteen eligible studies (eight randomised controlled trial (RCTs)) were identified. The majority focussed on delivery system design (n = 9) and/or providing self-management support (SMS) (n = 8). Overall, reported model effectiveness varied, and where positive impacts on process or health outcomes were observed, they were of small to moderate effect. There was no information about cost effectiveness. There is some evidence to support the use of collaborative care/multidisciplinary case management models in primary and community care and evidence-based pathways/standardisation of care in hospital settings. Multiple barriers were identified. Future research should focus on identifying the effective components of multi-faceted interventions and evaluating cost-effectiveness to support clinical and policy decision-making.

UR - http://www.sciencedirect.com/science/article/pii/S1521694214000126#

U2 - 10.1016/j.berh.2014.01.011

DO - 10.1016/j.berh.2014.01.011

M3 - Article

VL - 28

SP - 119

EP - 142

JO - Best Practice and Research: Clinical Rheumatology

JF - Best Practice and Research: Clinical Rheumatology

SN - 1521-6942

IS - 1

ER -