2023-09-28 14:46:10 +00:00
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abstract: 'Purpose
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To compare outcomes in employed people from an enhanced routine
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management pathway for musculoskeletal disorders within National Health
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Service Scotland with an existing active case-management system, Working
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Health Services Scotland.
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Materials and methods
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The study comprised a service evaluation using anonymised routinely
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collected data from all currently employed callers presenting with
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musculoskeletal disorder to the two services. Baseline demographic and
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clinical data were collected. EuroQol EQ-5D(TM) scores at the start and
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end of treatment were compared for both groups, overall and by age, sex,
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socio-economic status, and anatomical site, and the impact of mental
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health status at baseline was evaluated.
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Results
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Active case-management resulted in greater improvement than enhanced
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routine care. Case-managed service users entered the programme earlier
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in the recovery pathway; there was evidence of spontaneous improvement
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during the longer waiting time of routine service clients but only if
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they had good baseline mental health. Those most disadvantaged through
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mental health co-morbidity showed the greatest benefit.
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Conclusions
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People with musculoskeletal disorders who have poor baseline mental
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health status derive greatest benefit from active case-management.
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Case-management therefore contributes to reducing health inequalities
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and can help to minimise long-term sickness absence. Shorter waiting
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times contributed to better outcomes in the case-managed service.'
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affiliation: 'Bergman, BP (Corresponding Author), Inst Hlth \& Wellbeing, Publ Hlth
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\& Hlth Policy, 1 Lilybank Gardens, Glasgow G12 8RZ, Lanark, Scotland.
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Bergman, Beverly P.; Lewsey, James; Macdonald, Ewan, Univ Glasgow, Inst Hlth \&
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Wellbeing, Glasgow, Lanark, Scotland.
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Demou, Evangelia, Univ Glasgow, MRC CSO Social \& Publ Hlth Sci Unit, Glasgow, Lanark,
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Scotland.'
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author: Bergman, Beverly P. and Demou, Evangelia and Lewsey, James and Macdonald,
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Ewan
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author-email: Beverly.bergman@glasgow.ac.uk
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author_list:
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- family: Bergman
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given: Beverly P.
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- family: Demou
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given: Evangelia
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- family: Lewsey
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given: James
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- family: Macdonald
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given: Ewan
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da: '2023-09-28'
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doi: 10.1080/09638288.2021.1912837
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earlyaccessdate: APR 2021
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eissn: 1464-5165
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files: []
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issn: 0963-8288
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journal: DISABILITY AND REHABILITATION
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keywords: 'Musculoskeletal disorder; case management; intervention; sickness
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absence; rehabilitation; health inequalities'
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language: English
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month: AUG 14
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number: '17'
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number-of-cited-references: '31'
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orcid-numbers: Demou, Evangelia/0000-0001-8616-525X
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pages: 4648-4655
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papis_id: 9155823b4c3d43f916e944b62aa0ac96
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ref: Bergman2022comparisonroutine
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researcherid-numbers: 'Lewsey, James/F-7546-2010
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'
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times-cited: '0'
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title: A comparison of routine and case-managed pathways for recovery from musculoskeletal
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disorders in people in employment
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000643835900001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '44'
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web-of-science-categories: Rehabilitation
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year: '2022'
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