Implementing a structured model for osteoarthritis care in primary healthcare: A stepped-wedge cluster-randomised trial.

ABSTRACT:

Background

To improve quality of care for patients with hip and knee osteoarthritis (OA), a structured model for integrated OA care was developed based on international recommendations. The objective of this study was to assess the effectiveness of this model in primary care.

Methods and findings

We conducted a cluster-randomised controlled trial with stepped-wedge cohort design in 6 Norwegian municipalities (clusters) between January 2015 and October 2017. The randomised order was concealed to the clusters until the time of crossover from the control to the intervention phase. The intervention was implementation of the SAMBA model, facilitated by interactive workshops for general practitioners and physiotherapists with an update on OA treatment recommendations. Patients in

SUBMITTER: Osteras N 

PROVIDER: S-EPMC6793845 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature