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