scholarly journals Impact of Chronic Diseases and Multimorbidity on Health and Health Care Costs: The Additional Role of Musculoskeletal Disorders

2016 ◽  
Vol 68 (12) ◽  
pp. 1823-1831 ◽  
Author(s):  
Antje van der Zee-Neuen ◽  
Polina Putrik ◽  
Sofia Ramiro ◽  
Andras Keszei ◽  
Rob de Bie ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Diseases ◽  
Musculoskeletal Disorders ◽  
Health Care Costs ◽  
Care Costs ◽  
Additional Role

scholarly journals Direct access physiotherapy for patients with musculoskeletal disorders: a systematic review

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Demont ◽  
A Bourmaud ◽  
A Kechichian ◽  
F Desmeules
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Adverse Events ◽  
Usual Care ◽  
Musculoskeletal Disorders ◽  
Health Care Costs ◽  
Family Physician ◽  
Direct Access ◽  
The Impact ◽  
Care Costs

Abstract Background Although the benefits of physiotherapy is well supported in the literature, the impact of having direct access to physiotherapy is not well established. Update of the current available evidence is warranted. The aim of this systematic review was to update the current evidence regarding the impact of direct access physiotherapy compared to usual care for patients with musculoskeletal disorders. Methods Systematic searches were conducted in 5 bibliographic databases up until May 2018. Two independent raters reviewed studies and used the Quality Assessment Tool for Quantitative Studies to conduct the methodological quality assessment and a data extraction regarding patient outcomes, adverse events, health care utilization and processes, patient satisfaction and health care costs. Results Sixteen studies of weak to moderate quality were included. Five studies found no significant differences in pain reduction between usual family physician led care and direct access physiotherapy. However, three studies reported better clinical outcomes in patients with direct access in terms of function and quality of life. Five studies did not observe any adverse events with direct access physiotherapy. Three studies showed shorter waiting time and four studies reported fewer number of physiotherapy visits with direct access. Three studies showed that patients with direct access were less likely to have medication and imaging tests prescribed compared to usual care. Five studies reported higher levels of satisfaction for direct access. In terms of health care costs, four studies demonstrated that costs were lower with direct access and one study reported similar costs between both types of care. Conclusions Emerging evidence, although of weak to moderate quality, suggest that direct access physiotherapy provides equal or better outcomes than family physician led care models for musculoskeletal disorders patients. More methodologically strong studies are needed. Key messages This review supports the efficacy, safety and cost-effectiveness of direct access PT, while increasing access to care with a more efficient use of resources. There is a need for more methodologically strong studies to evaluate the efficiency of direct access models of care of physiotherapy for patients with MSKD.

scholarly journals The role of physicians and their professional bodies in containing health care costs

2017 ◽  
Vol 34 (6) ◽  
pp. 637-638
Author(s):  
Philip J van der Wees ◽  
Joost J G Wammes ◽  
Patrick P T Jeurissen ◽  
Gert P Westert
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Care Costs

scholarly journals Health Care Costs in Diabetes: The Role of Comorbidity Type

2018 ◽  
Vol 21 ◽  
pp. S11
Author(s):  
P Lin ◽  
E Pope ◽  
FL Zhou
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Care Costs
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