Building multidisciplinary health workforce capacity to support the implementation of integrated, people-centred Models of Care for musculoskeletal health

被引:23
|
作者
Chehade, M. J. [1 ]
Gill, T. K. [2 ]
Kopansky-Giles, D. [3 ]
Schuwirth, L. [4 ]
Karnon, J. [5 ]
McLiesh, P. [6 ]
Alleyne, J. [7 ]
Woolf, A. D. [8 ]
机构
[1] Royal Adelaide Hosp, Chair Int MSK Musculoskeletal Educ Task Force Glo, Discipline Orthopaed & Trauma, Level 4,Bice Bldg,North Terrace, Adelaide, SA 5000, Australia
[2] Univ Adelaide, Fac Hlth Sci, Sch Med, South Australian Hlth & Med Res Inst, Level 7,North Terrace, Adelaide, SA 5000, Australia
[3] Univ Toronto, Canadian Mem Chiropract Coll, Dept Family & Community Med, Grad Educ & Res, 6100 Leslie St, Toronto, ON M2H 3J1, Canada
[4] Flinders Univ S Australia, Prideaux Ctr Res Hlth Profess Educ, GPO Box 2100, Adelaide, SA 5001, Australia
[5] Univ Adelaide, Sch Publ Hlth, 178 North Terrace, Adelaide, SA 5000, Australia
[6] Univ Adelaide, Royal Adelaide Hosp, Australian & New Zealand Orthopaed Nurses Assoc, Sch Nursing,Fac Hlth Sci, Eleanor Harrald Bldg,North Terrace, Adelaide, SA 5000, Australia
[7] Univ Toronto, Dept Family & Community Med, Toronto Rehabil Inst, Musculoskeletal Program, Toronto, ON, Canada
[8] Univ Exeter, Knowledge Spa, Royal Cornwall Hosp, Bone & Joint Res Grp,Med Sch, Truro TR1 3HD, England
来源
关键词
Musculoskeletal; Education; Models of care; Integrated; People-centred; Workforce; COMPETENCE-BASED CURRICULUM; INTERPROFESSIONAL EDUCATION; PROFESSIONAL ACTIVITIES; ORTHOPEDIC-SURGERY; COST-EFFECTIVENESS; CORE COMPETENCES; GLOBAL BURDEN; SIMULATION; MANAGEMENT; PHYSIOTHERAPY;
D O I
10.1016/j.berh.2016.09.005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To address the burden of musculoskeletal (MSK) conditions, a competent health workforce is required to support the implementation of MSK models of care. Funding is required to create employment positions with resources for service delivery and training a fit-for-purpose workforce. Training should be aligned to define "entrustable professional activities", and include collaborative skills appropriate to integrated and people-centred care and supported by shared education resources. Greater emphasis on educating MSK healthcare workers as effective trainers of peers, students and patients is required. For quality, efficiency and sustainability of service delivery, education and research capabilities must be integrated across disciplines and within the workforce, with funding models developed based on measured performance indicators from all three domains. Greater awareness of the societal and economic burden of MSK conditions is required to ensure that solutions are prioritised and integrated within healthcare policies from local to regional to international levels. These healthcare policies require consumer engagement and alignment to social, economic, educational and infrastructure policies to optimise effectiveness and efficiency of implementation. (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码:559 / 584
页数:26
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