RightPath: a model of community-based musculoskeletal care for children

Nicola Smith; Victoria Mercer; Jill Firth; Sharmila Jandial; Katharine Kinsey; Helen Light; Alan Nye; Tim Rapley; Helen E Foster

doi:10.1093/rap/rkaa057

RightPath: a model of community-based musculoskeletal care for children

Nicola Smith^*, Victoria Mercer, Jill Firth, Sharmila Jandial, Katharine Kinsey, Helen Light, Alan Nye, Tim Rapley, Helen E Foster

^*Corresponding author for this work

Social Work, Education & Community Wellbeing

Research output: Contribution to journal › Article › peer-review

2 Downloads (Pure)

Abstract

Musculoskeletal (MSK) presentations are common (reported prevalence of one in eight children) and a frequent cause of consultations (6% of 7-year-olds in a cohort study from the UK). Many causes are self-limiting or raised as concerns about normal development (so-called normal variants). We aimed to describe a new model of care to identify children who might be managed in the community by paediatric physiotherapists and/or podiatrists rather than referral to hospital specialist services. Using mixed methods, we tested the feasibility, acceptability and transferability of the model in two UK sites. Evaluation included patient flow, referral times, diagnosis and feedback (using questionnaires, focus groups and interviews). All general practitioner referrals for MSK presentations (in individuals

Original language	English
Pages (from-to)	rkaa057
Journal	Rheumatology Advances in Practice
Volume	4
Issue number	2
Early online date	16 Oct 2020
DOIs	https://doi.org/10.1093/rap/rkaa057
Publication status	E-pub ahead of print - 16 Oct 2020

Access to Document

10.1093/rap/rkaa057Licence: CC BY

rkaa057Final published version, 178 KBLicence: CC BY

Cite this

@article{1b34bec9e23e47afbf7fcdeb9fefe0c2,

title = "RightPath: a model of community-based musculoskeletal care for children",

abstract = "Musculoskeletal (MSK) presentations are common (reported prevalence of one in eight children) and a frequent cause of consultations (6% of 7-year-olds in a cohort study from the UK). Many causes are self-limiting or raised as concerns about normal development (so-called normal variants). We aimed to describe a new model of care to identify children who might be managed in the community by paediatric physiotherapists and/or podiatrists rather than referral to hospital specialist services. Using mixed methods, we tested the feasibility, acceptability and transferability of the model in two UK sites. Evaluation included patient flow, referral times, diagnosis and feedback (using questionnaires, focus groups and interviews). All general practitioner referrals for MSK presentations (in individuals",

keywords = "child health, patient perspectives, primary health care, qualitative research, service development, triage",

author = "Nicola Smith and Victoria Mercer and Jill Firth and Sharmila Jandial and Katharine Kinsey and Helen Light and Alan Nye and Tim Rapley and Foster, {Helen E}",

year = "2020",

month = oct,

day = "16",

doi = "10.1093/rap/rkaa057",

language = "English",

volume = "4",

pages = "rkaa057",

journal = "Rheumatology Advances in Practice",

issn = "2514-1775",

publisher = "Oxford University Press",

number = "2",

}

TY - JOUR

T1 - RightPath: a model of community-based musculoskeletal care for children

AU - Smith, Nicola

AU - Mercer, Victoria

AU - Firth, Jill

AU - Jandial, Sharmila

AU - Kinsey, Katharine

AU - Light, Helen

AU - Nye, Alan

AU - Rapley, Tim

AU - Foster, Helen E

PY - 2020/10/16

Y1 - 2020/10/16

N2 - Musculoskeletal (MSK) presentations are common (reported prevalence of one in eight children) and a frequent cause of consultations (6% of 7-year-olds in a cohort study from the UK). Many causes are self-limiting or raised as concerns about normal development (so-called normal variants). We aimed to describe a new model of care to identify children who might be managed in the community by paediatric physiotherapists and/or podiatrists rather than referral to hospital specialist services. Using mixed methods, we tested the feasibility, acceptability and transferability of the model in two UK sites. Evaluation included patient flow, referral times, diagnosis and feedback (using questionnaires, focus groups and interviews). All general practitioner referrals for MSK presentations (in individuals

AB - Musculoskeletal (MSK) presentations are common (reported prevalence of one in eight children) and a frequent cause of consultations (6% of 7-year-olds in a cohort study from the UK). Many causes are self-limiting or raised as concerns about normal development (so-called normal variants). We aimed to describe a new model of care to identify children who might be managed in the community by paediatric physiotherapists and/or podiatrists rather than referral to hospital specialist services. Using mixed methods, we tested the feasibility, acceptability and transferability of the model in two UK sites. Evaluation included patient flow, referral times, diagnosis and feedback (using questionnaires, focus groups and interviews). All general practitioner referrals for MSK presentations (in individuals

KW - child health

KW - patient perspectives

KW - primary health care

KW - qualitative research

KW - service development

KW - triage

U2 - 10.1093/rap/rkaa057

DO - 10.1093/rap/rkaa057

M3 - Article

C2 - 33215057

VL - 4

SP - rkaa057

JO - Rheumatology Advances in Practice

JF - Rheumatology Advances in Practice

SN - 2514-1775

IS - 2

ER -

RightPath: a model of community-based musculoskeletal care for children

Abstract

Access to Document

Fingerprint

Cite this