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Musculoskeletal community

Show me the evidence

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Those involved in driving service improvements in MSK are asking what works. Some examples below: • Direct access physiotherapy (or other therapies) • GP/ESP access to MRI scanning • Interface services, MSCATS, ‘see and treat’ services, Tier 2 services • Telehealth/technology interventions for MSK eg MSK help, online consultations, disease monitoring • Use of web-based, paper, video exercise interventions for musculoskeletal conditions (I mention as this is often the only intervention people receive) • Shared decision-making support for MSK conditions • Shared prescribing of disease-modifying antirheumatic drugs (DMARDS) • Group consultations for MSK conditions. When considering the above the kind of questions I'm keen to find out the evidence (published, grey literature) for: • Does they improve outcomes? • Are they clinically and cost-effective? • Are there particular conditions for which they are more effective? • Are there unintended consequences of these interventions? • Are they safe? Please feel free to discuss and upload any resources or supporting documents you may have.

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