Articles tagged under ‘Value based healthcare’

Articles 1 - 34 of 34

• Shoulder scans after 40 — Nearly always abnormal, rarely useful

  If you've ever had an MRI for a sore shoulder, there's a good chance the scan showed a rotator cuff tear or another abnormality. And there's a good chance your doctor said that explained the source of your pain. But that link may be far weaker than assumed.

  ---

• Pain management is a human right

  An updated position statement on patients' rights to pain management reminds clinicians, services and healthcare systems that appropriate pain management is a human right.

  ---

• Why sharing your ‘sticky worries’ makes you a better clinician

  Every clinician carries worries that follow them home. This article makes the case for sharing them — and for building the kind of professional network that makes you a better practitioner.

  ---

• Series introduction — Healthcare in work injuries isn’t neutral

  This article launches a fortnightly series that will examine how healthcare delivery in workers' compensation can inadvertently harm the people it aims to help. Over the coming months, we'll explore the evidence in depth.

  ---

• Influencing whiplash outcomes — Using WhipPredict, value-based healthcare and stress-inoculation in a novel stratified, bundled-care program

  A novel whiplash treatment program that uses predictive analytics and psychological resilience training to match care to patient risk levels is delivering improved recovery outcomes and cost savings.

  ---

• Webinar recording — Online Pain Education Network (OPEN): Meeting the challenges of providing training in high value pain management

  Professor Michael Nicholas from the University of Sydney outlines the key components of an initiative that's designed to equip healthcare providers with the confidence and skills needed to support injured workers with persistent pain.

  ---

• Evolve Pain Academy puts people at the centre of their pain recovery

  People with chronic pain want to be in control of their recovery. A social enterprise is training clinicians to make this happen.

  ---

• Australian study seeks work-focused CBT practitioners and clients. Can you help?

  A research project is exploring the gap between guidelines and practice in work-focused CBT and is recruiting participants who have delivered or received this approach. Your story or that of someone you know could help shape future practice and help others return to work.

  ---

• Webinar recording — Value-based care in action: Leveraging digital programs for tangible outcomes in workers' compensation.

  The webinar explores how digital health solutions can improve workers' compensation outcomes through evidence-based care delivery and proper evaluation frameworks.

  ---

• A story of hope for people living with persistent pain — Part 3: the clinician’s role in managing chronic back pain

  The final instalment of our summary of the podcast conversation between Dr Rangan Chatterjee and Professor Peter O'Sullivan highlights how clinicians' approaches, beliefs and communication can affect patient outcomes and overall well-being.

  ---

• Walking back low back pain

  An article in The Conversation covers a study published in The Lancet that found that a program combining walking and education can reduce the recurrence of low back pain.

  ---

• The case for empathy — not just a buzzword in workers’ comp

  Empathy is not just a buzzword in workers' compensation. It’s a powerful tool that can transform our interactions with and lead to better outcomes for injured workers.

  ---

• From health tourist to driver — recovery-oriented messages from Professor Peter O’Sullivan

  Professor Peter O’Sullivan discusses what he sees as the problems with our current models of healthcare and the key messages he likes to give people who are struggling with back pain.

  ---

• ‘How I explain common conditions to my patients’ — messages from a chiropractor

  Rob Beaven, chiropractor, blogger and host of The back pain podcast, tells us how he explains common musculoskeletal conditions and processes to his patients.

  ---

• ‘Pain Factory’ exposes chronic pain care — and The Conversation picks up the baton

  Two articles in The Conversation pick up on revelations in the recent Four Corners episode on how chronic pain care is failing Australians.

  ---

• Webinar recording: How WorkCover Queensland commenced their journey to implementing value based healthcare

  Tanya Cambey, Specialist Lead at WorkCover Queensland, talks us through WorkCover’s vision and the creation, development and implementation of treatment guidelines.

  ---

• Messages to help people with back pain get their lives back

  Anne’s story compares how positive and negative messages about the body have a huge impact on how they recover from back pain (or not).

  ---

• Holding the torch higher — the social realities of self-management

  Self-management is not just about individual efforts. It's shaped by social factors and the interactions between patients and healthcare professionals

  ---

• A new guide to help primary care practitioners treat people with low back pain

  There's a new guide for primary care practitioners who work with people with low back pain.

  ---

• Return to work is everybody’s business — how everyone can be part of the solution

  Catherine Day, Director of Employer Supervision and Return to Work at SIRA, outlines SIRA's work to improve declining RTW rates in NSW

  ---

• Webinar recording — Implementing value-based healthcare in personal injury schemes

  In this webinar, Jamie Macdonald discusses SIRA’s approach to implementing value, their key achievements and their priorities for the next 12 months. 

  ---

• Recovery at home — the overARChing intent of an innovative rehab model

  An innovative technology-supported model of rehabilitation takes remote therapy to another level. And achieves impressive results for injured workers.

  ---

• New clinical care standard for low back pain — a story of hope

  The new Low Back Pain Clinical Care Standard aims to make sure patients with this common condition get the best outcomes.

  ---

• Telerehabilitation for spine pain in the lockdown era — not the same, but better

  Telerehabilitation on pain and disability in patients with spine pain achieved more improvement than 'hands-on' treatment.

  ---

• Caring for people with chronic musculoskeletal pain — a paradigm shift to solve a 'super wicked problem'

  A new approach to manage chronic musculoskeletal needs many scheme participants to commit to a ‘paradigm shift’.

  ---

• Work-focused health care: practical suggestions for how to do it

  Practical suggestions for how physiotherapists and other healthcare practitioners can provide ‘work focused healthcare’ to help the worker and the workplace.

  ---

• Did you know? We have principles that help GPs in their role to support work participation

  The ‘Principles on the role of the GP in supporting worker participation’ provide guidance to GPs and other work injury scheme participants on how they can work together to support workers’ recovery and RTW.

  ---

• ‘An epidemic of useless and often harmful care’ — Part 1

  Our standard pathway of care in injury management leads to low value care and over-investigation, over-diagnosis and over-treatment. Dr Mary Wyatt, Occupational Physician, presents some ideas to bridge the gap between current practice and the evidence-base.

  ---

• Webinar recording: Prevalence and patterns of health service use in compensated Australian workers with low back pain

  In this webinar, Michael Di Donato reports on his recent research into imaging and opioid use in compensated Australian workers with low back pain.

  ---

• SIRA answers questions about value-based healthcare

  Petrina Casey of SIRA discusses the benefits and challenges of value-based healthcare (VBH) in workers' compensation.

  ---

• Barriers to VBH

  Value-based healthcare promises to improve outcomes and reduce waste in workers’ compensation. What are some potential speed humps along the way?

  ---

• Making the case for VBH

  Seven potential benefits of value-based healthcare (VBH) in the context of workers’ compensation.

  ---

• Introducing value-based healthcare

  Efficient, evidence-based and directed by what matters to patients: what’s not to like about value-based healthcare? (A lot, if you ask some spinal surgeons…)

  ---

• The terrible two: UNDER-use and OVER-care

  Ever wondered why some musculoskeletal injuries don't resolve as quickly as they should?

Research 1 - 18 of 18

• Shoulder scans after 40 — Nearly always abnormal, rarely useful

  If you've ever had an MRI for a sore shoulder, there's a good chance the scan showed a rotator cuff tear or another abnormality. And there's a good chance your doctor said that explained the source of your pain. But that link may be far weaker than assumed.

  ---

• Surgery isn’t always the answer for shoulder pain

  Five years of evidence shows shoulder decompression surgery offers no advantage over placebo or physiotherapy for improvements in pain and function.

  ---

• What does long-term work injury mean for primary care?

  Long-term work injury leads to a sustained surge in GP use — more than tripling in the first year after injury and remaining high for at least 2 years — across both workers’ compensation and Medicare.

  ---

• The discipline of silence — The revolutionary act of letting others speak

  A study revealed that doctors only elicit patients’ real concerns one-third of the time, and when they do, they can't wait even 11 seconds before interrupting.

  ---

• Time to get active — Why passive treatments fall short for persistent pain

  Research shows that focusing on active self-management rather than passive pain relief can help people with chronic pain achieve lasting improvements in function and well-being.

  ---

• Education — the key to busting myths about the need for imaging for low back pain

  A study shows how common incorrect beliefs about spinal scans are and reinforces the importance of education when managing patients with this condition.

  ---

• The spine-tingling truth — guideline blindness among many physios who treat low back pain

  A study finds that many physios are unfamiliar with guidelines on treating low back pain and don't apply them in practice.

  ---

• Professional challenges in private physiotherapy practice

  A study suggests that competition overrides communication and collaboration in private physio practice and compromises patient care.

  ---

• What gets in the way of physios using the biopsychosocial model for persistent pain?

  What things make it harder or easier for physiotherapists to use a biopsychosocial approach when treating patients with persistent musculoskeletal pain?

  ---

• Opioids are no better than placebos for acute back and neck pain

  A study busts the myth that pain medications are necessary to ‘get on top of the pain’.

  ---

• Mind and mood — how psychosocial factors shape recovery from surgery

  Research shows that our emotional and mental state can influence how well we heal and bounce back from surgery.

  ---

• The RESTORE study reinforces the benefits of cognitive functional therapy for back pain

  A recent study into a new approach called Cognitive Functional Therapy offers hope for those with disabling and persistent low back pain.

  ---

• What does best practice care for musculoskeletal pain look like?

  Concerns about the lack of quality of care for musculoskeletal pain conditions led researchers to see if they could identify one set of recommendations for the best practice care of a range of those conditions. They identified 11 recommendations.

  ---

• To follow, or not follow, the script? That is the question (Act 1) — physios’ attention to the human aspects of care for people with low back pain

  Physios should ‘tinker with’ or ‘throw away the script’ if they want to respond in a more person-centred way to patients with low back pain.

  ---

• Physios and patients give telehealth the thumbs up

  Physios and patients who had consultations by videoconference during the COVID-19 pandemic liked that way of providing care.

  ---

• GLA:D to have an evidence-informed approach for painful knees and hips

  An evidence-based physiotherapy program that began in Denmark and was adopted in Australia is seeing impressive results in people with (or who have a high risk of developing) knee and hip osteoarthritis.

  ---

• ‘An epidemic of useless and often harmful care’ — Part 2

  Payments for healthcare represent the second largest item of expenditure for Australian workers’ compensation schemes after income replacement. And it’s growing. But what are schemes paying for?

  ---

• Opportunity to increase value in low back pain care

  A single pain management skills session is as effective at reducing pain catastrophising for people with chronic low back pain as eight sessions of CBT.