title: High volume acupuncture clinic (HVAC) for chronic knee pain--audit of a possible model for delivery of acupuncture in the National Health Service.
abstract: Recent research has established the efficacy, effectiveness and cost effectiveness of acupuncture for some forms of chronic musculoskeletal pain. However, there are practical problems with delivery which currently prevent its large scale implementation in the National Health Service. We have developed a delivery model at our hospital, a 'high volume' acupuncture clinic (HVAC) in which patients are treated in a group setting for single conditions using standardised or semi-standardised electroacupuncture protocols by practitioners with basic training. We discuss our experiences using this model for chronic knee pain and present an outcome audit for the first 77 patients, demonstrating satisfactory initial (eight week) clinical results. Longer term (one year) data are currently being collected and the model should next be tested in primary care to confirm its feasibility.
authors: Royal London Homeopathic Hospital, University College London Hospitals NHS Trust, London, UK. saul.berkovitz@uclh.nhs.uk
authors: Saul
authors: S
authors: Berkovitz
authors: Mike
authors: M
authors: Cummings
authors: Chris
authors: C
authors: Perrin
authors: Rieko
authors: R
authors: Ito
mesh_terms: D015670:Acupuncture Therapy / Q000191:economics* / Q000379:methods*; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007348:Insurance, Health; D007717:Knee; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000191:economics / Q000628:therapy*; D017063:Outcome Assessment, Health Care; D010146:Pain / Q000191:economics; D059408:Pain Management; D010147:Pain Measurement; D017060:Patient Satisfaction; D012720:Severity of Illness Index; D016896:Treatment Outcome