In the previous paper, discussing "Risk and the Future of Musculoskeletal Care," we reviewed the basic concepts of the risk corridor, implications on health care overall if we maintain a fee-for-service model, and the need for musculoskeletal specialists to begin taking on/managing risk to reinforce our presence in a "value-based care" system. This paper discusses the successes and failures of recent value-based care models and provides the framework for the paradigm of a specialist-led care model. We posit that orthopedic surgeons are the most knowledgeable physicians to manage musculoskeletal conditions, create new and innovative models, and lead value-based care to the next level.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.arth.2023.05.016 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
General Practitioners' Experiences With Implementing Colon or Prostate Cancer Survivorship Care in Primary Care: A Cross-Sectional Survey Nested Within Two Randomized-Controlled Trials.
JCO Oncol Pract
December 2024
Amsterdam UMC, University of Amsterdam, Department of General Practice, Amsterdam, the Netherlands.
Purpose: To evaluate general practitioners' (GPs) experiences with providing cancer survivorship care and explore readiness for implementation.
Methods: This cross-sectional survey study was nested within two randomized-controlled trials conducted in the Netherlands between 2015 and 2023, comparing GP- with specialist-led survivorship care for patients with colon or prostate cancer. An adapted version of the normalisation measure development (NoMAD) survey was distributed among participating GPs.
Improving Patient Care Through Collaborative Re-envisioning of the Model of Critical Care.
Clin Nurse Spec
October 2024
Author Affiliations: Clinical Nurse Specialist (Ms Hickin), Fraser Health Critical Care Network, New Westminster; Clinical Nurse Educator (Ms Hudniuk), Fraser Health Critical Care Network, Abbotsford; and Project Leader (Ms Gyorfi), Langley Health Services, Vancouver, British Columbia, Canada.
Article Synopsis
- Advanced medical therapies are leading to more complex patient care in intensive care units (ICUs), necessitating a new approach to critical care delivery that considers both staff skills and patient needs.
- Engagement sessions involving patients, families, and healthcare staff helped gather insights to create a sustainable critical care model that reflects their values and priorities.
- The new model focuses on four key elements: a care approach based on patient acuity and complexity, transitioning to integrated care units, creating advanced practice career pathways, and optimizing interprofessional team roles.
Exploring the lack of continuity of care in older cancer patients under China's 'integrated health system' reform.
Age Ageing
October 2024
Centre for Global Health, School of Public Health, Zhejiang University, Hangzhou, China.
Background: Continuity of care is essential to older patients' health outcomes, especially for those with complex needs. It is a key function of primary healthcare. Despite China's policy efforts to promote continuity of care and an integrated healthcare system, primary healthcare centres (PHCs) are generally very underused.
View Article and Find Full Text PDFSpillover effects from a type 2 diabetes integrated model of care in 22,706 Australians: an open cohort stepped wedge trial.
BMC Endocr Disord
September 2024
School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Background: Many Australian adults are not receiving timely or effective diabetes management to prevent or delay the onset of diabetes related complications. Integrated care, a worldwide trend in healthcare reform, aims to reduce the fragmented delivery of health services and improve outcomes. This study aimed to test whether a specialist-led integrated model of care provided to a small subset of patients in general practices leads to spillover clinical improvements in all patients of the practice with type 2 diabetes.
View Article and Find Full Text PDFPrecision Medicine to Redefine Insulin Secretion and Monogenic Diabetes-Randomized Controlled Trial (PRISM-RCT) in Chinese patients with young-onset diabetes: design, methods and baseline characteristics.
BMJ Open Diabetes Res Care
June 2024
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, People's Republic of China
Article Synopsis
- A new patient-centered, data-driven care model was developed and implemented to improve clinical outcomes for patients with young-onset type 2 diabetes (T2D), an area lacking well-established practice guidelines.
- The study, part of a 3-year randomized controlled trial, involves a team-based management approach utilizing genetic markers and technology to tailor treatments for individuals diagnosed with T2D before the age of 40.
- Out of 884 participants, those in the specialized JADE-PRISM group received more focused care, showing the potential for better management of complications and treatment goals compared to standard care protocols.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!