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An Employer-Sponsored Musculoskeletal Care Coordination Service Can Improve Clinical Outcomes and Self-Reported Productivity

OBJECTIVE: To evaluate the effects of participation with a novel musculoskeletal care coordination service on clinical outcomes, self-reported productivity, and satisfaction. METHODS: Prospective analysis of participants using the service from January 1, 2019 to December 31, 2019. RESULTS: One hundr...

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Detalles Bibliográficos
Autores principales: Madhusudhan, Divya K., Thokala, Sujith, Hagg, Heather K., Schoeneck, Allison R., Pizzarello, Daniel, Bravata, Dena M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7641180/
https://www.ncbi.nlm.nih.gov/pubmed/32941347
http://dx.doi.org/10.1097/JOM.0000000000002026
Descripción
Sumario:OBJECTIVE: To evaluate the effects of participation with a novel musculoskeletal care coordination service on clinical outcomes, self-reported productivity, and satisfaction. METHODS: Prospective analysis of participants using the service from January 1, 2019 to December 31, 2019. RESULTS: One hundred eighty nine participants were enrolled; 54 participants completed their recommended clinical pathway. Low back pain was the most common musculoskeletal issue (N = 86, 46%). 88 participants (47%) were triaged to home exercise and 59 (31%) to physical therapy. Behavioral health issues were common: 47 participants (25%) were referred to their EAP. Only 30 participants (16%) required a medical referral. Engagement was associated with improvements in pain, physical function, mood, and self-reported productivity (P < 0.01). The net promotor score for this service was 95. CONCLUSIONS: Employers with populations for whom musculoskeletal complaints are common might benefit from integrating a musculoskeletal care coordination service in their benefits offering.