Cargando…

Implementation of Best-Evidence Osteoarthritis Care: Perspectives on Challenges for, and Opportunities From, Low and Middle-Income Countries

The “Joint Effort Initiative” (JEI) is an international consortium of clinicians, researchers, and consumers under the auspices of the Osteoarthritis Research Society International (OARSI). The JEI was formed with a vision to improve the implementation of coordinated programs of best evidence osteoa...

Descripción completa

Detalles Bibliográficos
Autores principales: Eyles, Jillian P., Sharma, Saurab, Telles, Rosa Weiss, Namane, Mosedi, Hunter, David J., Bowden, Jocelyn L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9397802/
https://www.ncbi.nlm.nih.gov/pubmed/36188801
http://dx.doi.org/10.3389/fresc.2021.826765
_version_ 1784772200139587584
author Eyles, Jillian P.
Sharma, Saurab
Telles, Rosa Weiss
Namane, Mosedi
Hunter, David J.
Bowden, Jocelyn L.
author_facet Eyles, Jillian P.
Sharma, Saurab
Telles, Rosa Weiss
Namane, Mosedi
Hunter, David J.
Bowden, Jocelyn L.
author_sort Eyles, Jillian P.
collection PubMed
description The “Joint Effort Initiative” (JEI) is an international consortium of clinicians, researchers, and consumers under the auspices of the Osteoarthritis Research Society International (OARSI). The JEI was formed with a vision to improve the implementation of coordinated programs of best evidence osteoarthritis care globally. To better understand some of the issues around osteoarthritis care in low- and middle-income countries (LMICs), the JEI invited clinician researcher representatives from South Africa, Brazil, and Nepal to discuss their perspectives on challenges and opportunities to implementing best-evidence osteoarthritis care at the OARSI World Pre-Congress Workshop. We summarize and discuss the main themes of the presentations in this paper. The challenges to implementing evidence-based osteoarthritis care identified in LMICs include health inequities, unaffordability of osteoarthritis management and the failure to recognize osteoarthritis as an important disease. Fragmented healthcare services and a lack of health professional knowledge and skills are also important factors affecting osteoarthritis care in LMICs. We discuss considerations for developing strategies to improve osteoarthritis care in LMICs. Existing opportunities may be leveraged to facilitate the implementation of best-evidence osteoarthritis care. We also discuss strategies to support the implementation, such as the provision of high-quality healthcare professional and consumer education, and systemic healthcare reforms.
format Online
Article
Text
id pubmed-9397802
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-93978022022-09-29 Implementation of Best-Evidence Osteoarthritis Care: Perspectives on Challenges for, and Opportunities From, Low and Middle-Income Countries Eyles, Jillian P. Sharma, Saurab Telles, Rosa Weiss Namane, Mosedi Hunter, David J. Bowden, Jocelyn L. Front Rehabil Sci Rehabilitation Sciences The “Joint Effort Initiative” (JEI) is an international consortium of clinicians, researchers, and consumers under the auspices of the Osteoarthritis Research Society International (OARSI). The JEI was formed with a vision to improve the implementation of coordinated programs of best evidence osteoarthritis care globally. To better understand some of the issues around osteoarthritis care in low- and middle-income countries (LMICs), the JEI invited clinician researcher representatives from South Africa, Brazil, and Nepal to discuss their perspectives on challenges and opportunities to implementing best-evidence osteoarthritis care at the OARSI World Pre-Congress Workshop. We summarize and discuss the main themes of the presentations in this paper. The challenges to implementing evidence-based osteoarthritis care identified in LMICs include health inequities, unaffordability of osteoarthritis management and the failure to recognize osteoarthritis as an important disease. Fragmented healthcare services and a lack of health professional knowledge and skills are also important factors affecting osteoarthritis care in LMICs. We discuss considerations for developing strategies to improve osteoarthritis care in LMICs. Existing opportunities may be leveraged to facilitate the implementation of best-evidence osteoarthritis care. We also discuss strategies to support the implementation, such as the provision of high-quality healthcare professional and consumer education, and systemic healthcare reforms. Frontiers Media S.A. 2022-01-24 /pmc/articles/PMC9397802/ /pubmed/36188801 http://dx.doi.org/10.3389/fresc.2021.826765 Text en Copyright © 2022 Eyles, Sharma, Telles, Namane, Hunter and Bowden. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Rehabilitation Sciences
Eyles, Jillian P.
Sharma, Saurab
Telles, Rosa Weiss
Namane, Mosedi
Hunter, David J.
Bowden, Jocelyn L.
Implementation of Best-Evidence Osteoarthritis Care: Perspectives on Challenges for, and Opportunities From, Low and Middle-Income Countries
title Implementation of Best-Evidence Osteoarthritis Care: Perspectives on Challenges for, and Opportunities From, Low and Middle-Income Countries
title_full Implementation of Best-Evidence Osteoarthritis Care: Perspectives on Challenges for, and Opportunities From, Low and Middle-Income Countries
title_fullStr Implementation of Best-Evidence Osteoarthritis Care: Perspectives on Challenges for, and Opportunities From, Low and Middle-Income Countries
title_full_unstemmed Implementation of Best-Evidence Osteoarthritis Care: Perspectives on Challenges for, and Opportunities From, Low and Middle-Income Countries
title_short Implementation of Best-Evidence Osteoarthritis Care: Perspectives on Challenges for, and Opportunities From, Low and Middle-Income Countries
title_sort implementation of best-evidence osteoarthritis care: perspectives on challenges for, and opportunities from, low and middle-income countries
topic Rehabilitation Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9397802/
https://www.ncbi.nlm.nih.gov/pubmed/36188801
http://dx.doi.org/10.3389/fresc.2021.826765
work_keys_str_mv AT eylesjillianp implementationofbestevidenceosteoarthritiscareperspectivesonchallengesforandopportunitiesfromlowandmiddleincomecountries
AT sharmasaurab implementationofbestevidenceosteoarthritiscareperspectivesonchallengesforandopportunitiesfromlowandmiddleincomecountries
AT tellesrosaweiss implementationofbestevidenceosteoarthritiscareperspectivesonchallengesforandopportunitiesfromlowandmiddleincomecountries
AT namanemosedi implementationofbestevidenceosteoarthritiscareperspectivesonchallengesforandopportunitiesfromlowandmiddleincomecountries
AT hunterdavidj implementationofbestevidenceosteoarthritiscareperspectivesonchallengesforandopportunitiesfromlowandmiddleincomecountries
AT bowdenjocelynl implementationofbestevidenceosteoarthritiscareperspectivesonchallengesforandopportunitiesfromlowandmiddleincomecountries