Longer-term quality of care, effectiveness, and cost-effectiveness of implementing a model of care for osteoarthritis: A cluster-randomized controlled trial
Primary result · Patient-reported quality of care (pass rate)Result — go to the resultMean difference 17.6 95% CI 11.1–24.0Authors' conclusion
This study showed that implementing the model of care for OA in primary healthcare, improved quality of care and showed cost-effectiveness over 12 months compared to usual care.
Study context
- Population
- Patients with symptomatic hip or knee osteoarthritis (OA) in primary healthcare, six municipalities in Norway; 40 general practitioners (GPs) and 37 physiotherapists (PTs) recruited
- Participants
- 393 patients
- Comparison
- Structured model of care for hip and knee OA in primary healthcare vs usual care
- Interventionn = 284
- Controln = 109reference
- Primary endpoint
- Patient-reported quality of care (OsteoArthritis Quality Indicator questionnaire, 16 items, pass rate 0-100%, 100%=best)
- Follow-up
- 12 months
Methodological detailspragmatic, stepped-wedge cohort design, six municipalities (clusters)
- Pragmatic
- Stepped-wedge cohort design
- Six municipalities (clusters)
Primary result
Patient-reported quality of care (pass rate)
Mean difference
17.6
95% CI 11.1–24.0
By group
Interventionvs Control
mean difference 17.6 (95% CI 11.1–24.0)
As reported in the abstract
Further findings
| Outcome | Mean INMB (€) (95% CI) |
|---|---|
| Cost-effectiveness (healthcare perspective): model of care vs usual care, mean INMB · 12 monthsQALYs gained and cost-savings | 2020 (611–3492) |
Original publication
Longer-term quality of care, effectiveness, and cost-effectiveness of implementing a model of care for osteoarthritis: A cluster-randomized controlled trial. Osteoarthritis Cartilage. Published 13 October 2023. doi:10.
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