Abstract:
OBJECTIVES:The objectives of this paper were to investigate quality of care for individuals with osteoarthritis (OA) and to determine if those most in need had the outcome of a total joint replacement (TJR). Key quality indicators were involvement in treatment decisions, appropriate information provision and outcomes of care. METHODS:A longitudinal study was conducted on individuals newly referred to an orthopaedic specialist at one hospital in North West England. A total of 268 participants were recruited consecutively and followed up at 3, 6 and 12 months. Validated measurement tools such as, a Visual Analogue Scale for pain and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) assessed pain and physical functioning. Mean scores on the outcome measures were estimated and plotted over time by joint affected and whether or not the participant had a TJR by 12 months. RESULTS:Most participants (82%) felt that they were involved in the decision about their care, although 21% reported that they had not received a diagnosis of OA. Information was not provided on OA, pain management and exercise to 58%, 65% and 57% of participants, respectively. However, 98% of the 109 having a TJR reported receiving information about the procedure. Among the 118 known not to have had a TJR, pain and physical functioning remained relatively stable over time. CONCLUSION:It appears that patients with the most severe symptoms of pain and physical functioning were selected for TJR. However, care for individuals with OA could be improved by providing standard information on OA in general and pain management and exercise. In particular, effective strategies for the implementation of the research evidence and guidelines are required to improve quality of care.
journal_name
J Eval Clin Practjournal_title
Journal of evaluation in clinical practiceauthors
McHugh GA,Campbell M,Luker KAdoi
10.1111/j.1365-2753.2010.01616.xsubject
Has Abstractpub_date
2012-06-01 00:00:00pages
534-41issue
3eissn
1356-1294issn
1365-2753journal_volume
18pub_type
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章,随机对照试验
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更新日期:2016-10-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章,多中心研究
doi:10.1111/jep.13257
更新日期:2019-12-01 00:00:00
abstract::Nosology is the science of defining and classifying diseases. Meta-nosology is the study of how we do this, on what principles nosological practices are based, the quality of the resulting medical taxonomy, and primarily whether/how diseases can be defined better than they are now. In modern Western medicine, there ar...
journal_title:Journal of evaluation in clinical practice
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journal_title:Journal of evaluation in clinical practice
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journal_title:Journal of evaluation in clinical practice
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章,随机对照试验
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更新日期:2011-02-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章,多中心研究
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更新日期:2014-10-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
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更新日期:2020-12-04 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章,随机对照试验
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更新日期:2016-12-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
doi:10.1111/j.1365-2753.2010.01508.x
更新日期:2011-08-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
doi:10.1111/jep.13528
更新日期:2020-12-23 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
doi:10.1111/jep.12748
更新日期:2017-08-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章,随机对照试验
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更新日期:2008-08-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
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更新日期:2002-11-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章,评审
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更新日期:2010-08-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
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更新日期:2017-04-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
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更新日期:2020-04-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
doi:10.1111/j.1365-2753.2011.01719.x
更新日期:2011-10-01 00:00:00
abstract::Experience of knowledge management initiatives in non-health care organizations can offer useful insights, and strategies, to implement evidence-based practice in health care. Knowledge management offers a structured process for the generation, storage, distribution and application of knowledge in organizations. This ...
journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
doi:10.1111/j.1365-2753.2006.00534.x
更新日期:2006-06-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
doi:10.1111/j.1365-2753.2011.01681.x
更新日期:2011-08-01 00:00:00
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journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
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更新日期:2012-10-01 00:00:00
abstract:RATIONALE, AIMS AND OBJECTIVES:Loss of situation awareness (SA) by health professionals during handover is a major threat to patient safety in perinatal care. SA refers to knowing what is going on around. Adequate handover communication and process may support situation assessment, a precursor of SA. This study describ...
journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
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更新日期:2014-04-01 00:00:00
abstract:RATIONALE, AIM AND OBJECTIVE:Factors influencing doctors in prescribing of drugs have mostly been studied in primary care. Studies performed in hospital care have primarily focused on new drugs, not prescribing in general. An in-depth understanding of the prescribing process in the more specialized secondary care is no...
journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
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更新日期:2007-10-01 00:00:00
abstract:AIMS AND OBJECTIVE:To identify factors important in determining whether an obese child achieves significant reductions in Body Mass Index Standard Deviation Score (BMI SDS) within a UK, hospital-based paediatric obesity service aimed at lifestyle modification. DESIGN:Observational Study. SUBJECTS:137 obese children (...
journal_title:Journal of evaluation in clinical practice
pub_type: 杂志文章
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更新日期:2007-06-01 00:00:00