What does high value care for musculoskeletal conditions mean and how do you apply it in practice? A consensus statement from a research network of physiotherapists in New South Wales, Australia
Steven J Kamper,
Simon Davidson,
Priscilla Viana da Silva,
Connor Gleadhill,
Aidan Cashin,
Michael Byrne,
Christopher Michael Williams,
James B Wallace,
Katherine Dooley,
Nicole Manvell,
Michael Corrigan,
Noah Birchill,
Bruce Donald,
Murray Leyland,
Andrew Delbridge,
Chris Barnett,
David Renfrew,
Steven Lamond,
Craig Edward Boettcher,
Lucia Chambers,
Travis Maude,
Jon Davis,
Stephanie Hodgson,
Andrew Makaroff,
Kelly Kotrick,
Nicholas Mullen,
Ryan Gallagher,
Samuel Zelinski,
Toby Watson,
Benjamin Mahon,
Caitlin Delore,
Joshua Manvell,
Benedicta Gibbs,
Chris Hook,
Chris Stoddard,
Elliot Meers,
Tim Schneider,
Katarzyna Bolsewicz
Affiliations
Steven J Kamper
6 Allied Health Department, Nepean Blue Mountains Local Health District, Kingswood, New South Wales, Australia
Simon Davidson
3 Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia
Priscilla Viana da Silva
1 School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
Connor Gleadhill
1 School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
Aidan Cashin
9 Centre for Pain IMPACT, Neuroscience Research Australia, Sydney, New South Wales, Australia
Michael Byrne
29 Recovery Partners, Newcastle, New South Wales, Australia
Christopher Michael Williams
5 School of Health Sciences, University of Sydney, Sydney, New South Wales, Australia
James B Wallace
20 PhysioStudio, Maitland, New South Wales, Australia
Katherine Dooley
4 School of Health Sciences, Charles Sturt University, Albury, New South Wales, Australia
Nicole Manvell
7 NUmoves Physiotherapy, Callaghan, New South Wales, Australia
Michael Corrigan
8 Atune Health Centres, Newcastle, New South Wales, Australia
Noah Birchill
11 Hunter New England Local Health District, New Lambton, New South Wales, Australia
Bruce Donald
12 John Hunter Hospital Physiotherapy, Hunter New England Local Health District, New Lambton, New South Wales, Australia
Murray Leyland
13 Thornton Physiotherapy, Maitland, New South Wales, Australia
Andrew Delbridge
14 Regent Street Physiotherapy, New Lambton, New South Wales, Australia
Chris Barnett
15 ORS Group, Newcastle, New South Wales, Australia
David Renfrew
16 Newcastle Performance Physiotherapy, Newcastle, New South Wales, Australia
Steven Lamond
17 Newcastle Knights, Newcastle, New South Wales, Australia
Craig Edward Boettcher
14 Regent Street Physiotherapy, New Lambton, New South Wales, Australia
Lucia Chambers
1 School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
Travis Maude
19 Advanced Physiotherapy, Warners Bay, New South Wales, Australia
Jon Davis
20 PhysioStudio, Maitland, New South Wales, Australia
Stephanie Hodgson
11 Hunter New England Local Health District, New Lambton, New South Wales, Australia
Andrew Makaroff
21 Employers Mutual Limited, Newcastle, New South Wales, Australia
Kelly Kotrick
16 Newcastle Performance Physiotherapy, Newcastle, New South Wales, Australia
Nicholas Mullen
22 Ethos Health, Newcastle, New South Wales, Australia
Ryan Gallagher
23 Honeysuckle Health, Newcastle, New South Wales, Australia
Samuel Zelinski
7 NUmoves Physiotherapy, Callaghan, New South Wales, Australia
Toby Watson
24 The Good Physio, Newcastle, New South Wales, Australia
Benjamin Mahon
25 Unified Health, Newcastle, New South Wales, Australia
Caitlin Delore
14 Regent Street Physiotherapy, New Lambton, New South Wales, Australia
Joshua Manvell
11 Hunter New England Local Health District, New Lambton, New South Wales, Australia
Benedicta Gibbs
26 APM Workcare, Christchurch, New Zealand
Chris Hook
19 Advanced Physiotherapy, Warners Bay, New South Wales, Australia
Chris Stoddard
27 Terrace Physio Plus, Raymond Terrace, New South Wales, Australia
Elliot Meers
28 Kinetic Sports Physiotherapy, Newcastle, New South Wales, Australia
Tim Schneider
22 Ethos Health, Newcastle, New South Wales, Australia
Katarzyna Bolsewicz
1 School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
Objectives To develop a physiotherapist-led consensus statement on the definition and provision of high-value care for people with musculoskeletal conditions.Design We performed a three-stage study using Research And Development/University of California Los Angeles Appropriateness Method methodology. We reviewed evidence about current definitions through a rapid literature review and then performed a survey and interviews with network members to gather consensus. Consensus was finalised in a face-to-face meeting.Setting Australian primary care.Participants Registered physiotherapists who are members of a practice-based research network (n=31).Results The rapid review revealed two definitions, four domains of high value care and seven themes of high-quality care. Online survey responses (n=26) and interviews (n=9) generated two additional high-quality care themes, a definition of low-value care, and 21 statements on the application of high value care. Consensus was reached for three working definitions (high value, high-quality and low value care), a final model of four high value care domains (high-quality care, patient values, cost-effectiveness, reducing waste), nine high-quality care themes and 15 statements on application.Conclusion High value care for musculoskeletal conditions delivers most value for the patient, and the clinical benefits outweigh the costs to the individual or system providing the care. High-quality care is evidence based, effective and safe care that is patient-centred, consistent, accountable, timely, equitable and allows easy interaction with healthcare providers and healthcare systems.
