Osteoarthritis guidelines: Barriers to implementation and solutions.
Identifieur interne : 001A02 ( Main/Exploration ); précédent : 001A01; suivant : 001A03Osteoarthritis guidelines: Barriers to implementation and solutions.
Auteurs : Sarah Ferreira De Meneses [Australie] ; Francois Rannou [France] ; David J. Hunter [Australie]Source :
- Annals of physical and rehabilitation medicine [ 1877-0665 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- standards : Health Plan Implementation, Patient Care Team, Primary Health Care.
- therapy : Osteoarthritis.
- Disease Management, Humans, Practice Guidelines as Topic.
Abstract
Osteoarthritis (OA) is a leading cause of disability worldwide. Clinical practice guidelines (CPGs) have been developed to facilitate improved OA management. Scientific communities worldwide have proposed CPGs for OA treatment. Despite the number of highly prominent guidelines available and their remarkable consistency, their uptake has been suboptimal. Possibly because of the multitude of barriers related to the implementation of CPGs. For example, different guidelines show contradictions, some lack evidence, and they lack a hierarchy or tools to facilitate their translation and application. Also, the guidelines do not acknowledge the effect of comorbidities on choosing the treatments. Finally, poor integration of multidisciplinary services within and across healthcare settings is a major barrier to the effective implementation of management guidelines. Here we describe the main problems related to the OA guidelines and some solutions so as to offer some guidance on the elaboration of future CPGs and their implementation in primary care.
DOI: 10.1016/j.rehab.2016.01.007
PubMed: 26947895
Affiliations:
- Australie, France
- Nouvelle-Galles du Sud, État de São Paulo, Île-de-France
- Paris, Sydney, São Paulo
- Université de Sydney, Université de São Paulo
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Le document en format XML
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Clinical practice guidelines (CPGs) have been developed to facilitate improved OA management. Scientific communities worldwide have proposed CPGs for OA treatment. Despite the number of highly prominent guidelines available and their remarkable consistency, their uptake has been suboptimal. Possibly because of the multitude of barriers related to the implementation of CPGs. For example, different guidelines show contradictions, some lack evidence, and they lack a hierarchy or tools to facilitate their translation and application. Also, the guidelines do not acknowledge the effect of comorbidities on choosing the treatments. Finally, poor integration of multidisciplinary services within and across healthcare settings is a major barrier to the effective implementation of management guidelines. Here we describe the main problems related to the OA guidelines and some solutions so as to offer some guidance on the elaboration of future CPGs and their implementation in primary care.</div></front></TEI><affiliations><list><country><li>Australie</li><li>France</li></country><region><li>Nouvelle-Galles du Sud</li><li>État de São Paulo</li><li>Île-de-France</li></region><settlement><li>Paris</li><li>Sydney</li><li>São Paulo</li></settlement><orgName><li>Université de Sydney</li><li>Université de São Paulo</li></orgName></list><tree><country name="Australie"><region name="État de São Paulo"><name sortKey="Ferreira De Meneses, Sarah" sort="Ferreira De Meneses, Sarah" uniqKey="Ferreira De Meneses S" first="Sarah" last="Ferreira De Meneses">Sarah Ferreira De Meneses</name></region><name sortKey="Hunter, David J" sort="Hunter, David J" uniqKey="Hunter D" first="David J" last="Hunter">David J. Hunter</name></country><country name="France"><region name="Île-de-France"><name sortKey="Rannou, Francois" sort="Rannou, Francois" uniqKey="Rannou F" first="Francois" last="Rannou">Francois Rannou</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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