Implementation Initiatives to Improve Low Back Pain Care in Australia: A Scoping Review
| العنوان: | Implementation Initiatives to Improve Low Back Pain Care in Australia: A Scoping Review |
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| المؤلفون: | Nathalia Costa, Fiona M Blyth, Anita B Amorim, Sarika Parambath, Selvanaayagam Shanmuganathan, Carmen Huckel Schneider |
| المصدر: | Pain Medicine. 23:1979-2009 |
| بيانات النشر: | Oxford University Press (OUP), 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Anesthesiology and Pain Medicine, Databases, Factual, Australia, Humans, Neurology (clinical), General Medicine, Low Back Pain |
| الوصف: | Objective This scoping review aimed to comprehensively review strategies for implementation of low back pain (LBP) guidelines, policies, and models of care in the Australian health care system. Methods A literature search was conducted in MEDLINE, EMBASE, CINAHL, Allied and Complementary Medicine Database, and Web of Science to identify studies that aimed to implement or integrate evidence-based interventions or practices to improve LBP care within Australian settings. Results Twenty-five studies met the inclusion criteria. Most studies targeted primary care settings (n = 13). Other settings included tertiary care (n = 4), community (n = 4), and pharmacies (n = 3). One study targeted both primary and tertiary care settings (n = 1). Only 40% of the included studies reported an underpinning framework, model, or theory. The implementation strategies most frequently used were evaluative and iterative strategies (n = 14, 56%) and train and educate stakeholders (n = 13, 52%), followed by engage consumers (n = 6, 24%), develop stakeholder relationships (n = 4, 16%), change in infrastructure (n = 4, 16%), and support clinicians (n = 3, 12%). The most common implementation outcomes considered were acceptability (n = 11, 44%) and adoption (n = 10, 40%), followed by appropriateness (n = 7, 28%), cost (n = 3, 12%), feasibility (n = 1, 4%), and fidelity (n = 1, 4%). Barriers included time constraints, funding, and teamwork availability. Facilitators included funding and collaboration between stakeholders. Conclusions Implementation research targeting LBP appears to be a young field, mostly focusing on training and educating stakeholders in primary care. Outcomes on sustainability and penetration of evidence-based interventions are lacking. There is a need for implementation research guided by established frameworks that consider interrelationships between organizational and system contexts beyond the clinician–patient dyad. |
| تدمد: | 1526-4637 1526-2375 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7a41a7b2d4e21e907d70232381149067 https://doi.org/10.1093/pm/pnac102 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....7a41a7b2d4e21e907d70232381149067 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15264637 15262375 |
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