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Self-reported quality care for knee osteoarthritis: comparisons across Denmark, Norway, Portugal and the UK

2015-01Journal article Open Access
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dc.contributor.authorOsteras, N.
dc.contributor.authorJordan, K. P.
dc.contributor.authorClausen, B.
dc.contributor.authorCordeiro, C.
dc.contributor.authorDziedzic, K.
dc.contributor.authorEdwards, J.
dc.contributor.authorGronhaug, G.
dc.contributor.authorHigginbottom, A.
dc.contributor.authorLund, H.
dc.contributor.authorPacheco, G.
dc.contributor.authorPais, S.
dc.contributor.authorHagen, K. B.
dc.date.accessioned2018-12-07T14:53:08Z
dc.date.available2018-12-07T14:53:08Z
dc.date.issued2015-01
dc.description.abstractObjectives: To assess and compare patient perceived quality of osteoarthritis (OA) management in primary healthcare in Denmark, Norway, Portugal and the UK. Methods: Participants consulting with clinical signs and symptoms of knee OA were identified in 30 general practices and invited to complete a cross-sectional survey including quality indicators (QI) for OA care. A QI was considered as eligible if the participant had checked 'Yes' or 'No', and as achieved if the participant had checked 'Yes' to the indicator. The median percentage (with IQR and range) of eligible QIs achieved by country was determined and compared in negative binominal regression analysis. Achievement of individual QIs by country was determined and compared using logistic regression analyses. Results: A total of 354 participants self-reported QI achievement. The median percentage of eligible QIs achieved (checked 'Yes') was 48% (IQR 28%, 64%; range 0-100%) for the total sample with relatively similar medians across three of four countries. Achievement rates on individual QIs showed a large variation ranging from 11% (referral to services for losing weight) to 67% (information about the importance of exercise) with significant differences in achievement rates between the countries. Conclusions: The results indicated a potential for improvement in OA care in all four countries, but for somewhat different aspects of OA care. By exploring these differences and comparing healthcare services, ideas may be generated on how the quality might be improved across nations. Larger studies are needed to confirm and further explore the findings.
dc.description.sponsorshipEULAR Health Professional Grant; Norwegian Fund through the FYSIOPRIM project; National Institute for Health Research (NIHR) [RP-PG-0407-10 386]; Arthritis Research UK Centre in Primary Care grant [18139]; National Institute for Health Research (NIHR) Collaborations for Leadership in Applied Health Research and Care West Midlands by a Knowledge Mobilisation Research Fellowship from the National Institute for Health Research; National Institute for Health Research (NIHR); Fundacao para a Ciencia e Tecnologia [PEst-OE/MAT/UI0006/2014]
dc.description.versioninfo:eu-repo/semantics/publishedVersion
dc.identifier.doi10.1136/rmdopen-2015-000136
dc.identifier.issn2056-5933
dc.identifier.urihttp://hdl.handle.net/10400.1/11364
dc.language.isoeng
dc.peerreviewedyes
dc.publisherBMJ Publishing Group
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.titleSelf-reported quality care for knee osteoarthritis: comparisons across Denmark, Norway, Portugal and the UK
dc.typejournal article
dspace.entity.typePublication
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5876/PEst-OE%2FMAT%2FUI0006%2F2014/PT
oaire.citation.issue1
oaire.citation.startPageUNSP e000136
oaire.citation.titleRMD Open
oaire.citation.volume1
oaire.fundingStream5876
person.familyNameHenrique Cordeiro
person.givenNameClara Maria
person.identifier.ciencia-idC71E-21A1-E882
person.identifier.orcid0000-0002-1026-6078
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccess
rcaap.typearticle
relation.isAuthorOfPublication7e0bbaff-c584-461a-84e2-54f2a6c15876
relation.isAuthorOfPublication.latestForDiscovery7e0bbaff-c584-461a-84e2-54f2a6c15876
relation.isProjectOfPublication2d773020-e58e-49c1-9089-6b2864d88f4a
relation.isProjectOfPublication.latestForDiscovery2d773020-e58e-49c1-9089-6b2864d88f4a

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