RIPN meet to develop consensus on high value care

Following on from our research priority area: “Tackling the poor quality of care for musculoskeletal conditions” we first needed to define what high quality and high value care means. Led by Connor Gleadhill, and a team of musculoskeletal physiotherapists, the Research in Practice Network co-produced a consensus statement to define what high-value and high-quality care means to them (from the clinician’s perspective). 

What did we find:

For physiotherapists, high value care is care that is high quality, incorporates patient values, is cost-effective and reduces waste in the care cycle. The definition of high-quality care considers nine themes: care that is safe, connected, patient-centred, evidence-based, effective, timely, equitable, consistent and accountable (picture below). 

Implications for this research: 

Application of high-value care: To provide high-value care, clinicians need to watch out for things that might lead to low-value care, such as funding structures that prioritize quantity over quality. This means removing unnecessary elements from care delivery and aligning care outcomes with patient values. Tools like patient-reported measures and shared decision-making aids can help, but skilled communication between patients and clinicians is essential for truly understanding and incorporating patient preferences into treatment decisions. This helps patients feel more involved in their care and make better decisions about their health.

Application of high-quality care: High-quality care means keeping patients safe from harm, not just from medication side effects but also from how diagnoses are communicated and how imaging results influence treatment. Being accountable in care delivery is crucial too. Peer review and auditing can help improve care standards by encouraging clinicians to discuss their decisions openly and learn from each other. While this might take some effort, it’s an easy way for clinicians to enhance care quality without big changes.

This statement is like a roadmap for physiotherapists, guiding them to give the best possible care to their patients. It’s a big step forward in improving physiotherapy practices and making sure everyone gets the quality care they need.

To read the full publication please click here

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