Background: Despite millions spent in research funding, studies, and guidelines, outcomes involving musculoskeletal care continue to decline. The purpose of this Viewpoint is to describe value-based care and to suggest measures for its adoption by physiotherapists who manage individuals with musculoskeletal related pain disorders.
Discussion: The provision of value-based care is best defined as care that includes: 1) patient centeredness, 2) guideline-oriented, integrated strategies, 3) measurement of patient outcomes and experiences, and 4) cost effectiveness. Physiotherapists are well positioned to be leaders in the application of value-based care by assuring they address each of the four strategies during the daily patient encounter. This Viewpoint discusses strategies for application to clinical practice.
Conclusion: By implementing value-based care principals, physiotherapists could assure that patients with musculoskeletal related pain disorders receive the right care at the right time, by the right provider.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8056623 | PMC |
http://dx.doi.org/10.1186/s40945-021-00107-0 | DOI Listing |
JAMA Health Forum
March 2025
Department of Medicine, University of Chicago, Chicago, Illinois.
Importance: Newer antiobesity medications lead to greater weight loss and lower cardiometabolic risks. However, the high costs of these medications have raised policy questions about their value and coverage decisions.
Objective: To compare the cost-effectiveness of 4 antiobesity medications with lifestyle modification vs lifestyle modification alone in the US.
Am J Hosp Palliat Care
March 2025
Professor of Medicine, Pediatrics, Health Systems Science and Interprofessional Practice, Virginia Tech-Carilion School of Medicine, Roanoke, VA, USA.
Advance care planning (ACP) is critical to patient-centered health care, particularly in hospital settings where acute and end-of-life decisions often occur. As frontline providers, hospitalists are uniquely positioned to initiate and guide ACP discussions. This article explores the role of hospitalists in ACP, identifies barriers to its implementation, and highlights strategies to overcome these challenges.
View Article and Find Full Text PDFChiropr Man Therap
March 2025
World Spine Care, Tustin, CA, USA.
Background: Since the 1990s, spine disorders have remained the leading cause of global disability, disproportionately affecting economically marginalized individuals, rural populations, women, and older people. Back pain related disability is projected to increase the most in remote regions where lifestyle and work are increasingly sedentary, yet resources and access to comprehensive healthcare is generally limited. To help tackle this worldwide health problem, World Spine Care Canada, and the Global Spine Care Initiative (GSCI) launched a four-phase project aiming to address the profound gap between evidence-based spine care and routine care delivered to people with spine symptoms or concerns in communities that are medically underserved.
View Article and Find Full Text PDFHealth Aff Sch
March 2025
Division of General Medicine, Departments of Internal Medicine and Health Management and Policy, University of Michigan, Ann Arbor, MI 48109, United States.
The substantial carbon footprint imparted by medical services warrants increased attention to their environmental impact. National guideline organizations such as the US Preventive Services Task Force (USPSTF) recommend multiple modalities for average-risk colorectal cancer (CRC) screening with varying resource intensity. The aim of this study was to quantify the environmental burden for 2 of the most used CRC screening modalities, colonoscopy and the multi-target stool DNA (mt-sDNA) test.
View Article and Find Full Text PDFClin Neurol Neurosurg
March 2025
Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA; Neuro-Informatics Laboratory, Mayo Clinic, Rochester, MN, USA. Electronic address:
Objective: A trend of outpatient spinal procedures has recently been observed due to evidence of less hospital-associated risks and better value-based care. We aimed to assess non-inferiority in surgical outcomes of outpatient and inpatient laminoplasty for cervical spondylosis.
Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried for patients undergoing cervical laminoplasty for spinal spondylosis.
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