Table 4 Summary of content on strategies to improve equitable access to OA care
Strategy level | Strategy type | Guidelines (n,%) [references] | Examples |
|---|---|---|---|
Patient Offered to persons with OA to improve knowledge, confidence, behaviour, OA symptoms, OA status, or quality of life | Self-management advice | (1, 2.7) [10] | Exercise recommendations to patients should focus on the patient’s preferences and access, both of which may be important barriers to participation. If a patient does not find a certain form of exercise acceptable or cannot afford to participate or arrange transportation to participate, he or she is not likely to get any benefit from the suggestion to pursue that exercise…the availability, accessibility, and affordability of some [educational, physical, behavioral, psychosocial, mind-body, and pharmacologic] interventions vary, but in many communities the Arthritis Foundation, as well as local hospitals and other health-related agencies, offer free self-efficacy and self-management programs [p154,160] |
Clinician Offered to healthcare professionals to improve knowledge, confidence, behaviour, or how they provide OA care (e.g., skills) | Clinical assessment tools | (1, 2.7) [66] | Rehabilitation requires a preoperative evaluation of patient needs and referral to a qualified health care professional in the patient’s education and preparation for the return home… Recommendation to perform preoperative needs analysis of patients [is suggested, especially for] a more fragile population in terms of difficulties in returning home, presurgical major disability, or precarious social conditions or comorbidities…the use of a predictive orientation questionnaire such as the Risk Assessment and Predictor Tool could allow for better preparation [66 p196] |
System Developed and/or offered by health systems or government to improve access to OA care, advice and support | -- | -- | -- |