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Implementing a structured model for osteoarthritis care in primary healthcare: A stepped-wedge cluster-randomized trial

PLoS Medicine Oct 24, 2019

Østerås N, Moseng T, van Bodegom-Vos L, et al. - Via a cluster-randomized controlled trial with stepped-wedge cohort design in six Norwegian municipalities (clusters) between January 2015 and October 2017, researchers evaluated the efficacy of a structured model for integrated OA care in primary care. Of the 393 patient participants, 284 were randomized to the intervention group and 109 to the usual care group. At 6 months, greater patient-reported quality of care and satisfaction with care was noted, more individuals were referred to physiotherapy and less to orthopedic surgeons, and in comparison with the usual care group, more individuals accomplished physical activity criteria in the intervention group. Therefore, in this study, a structured model in primary care led to a greater quality of OA care, in comparison with usual care.
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