title: Models of Care for musculoskeletal health: Moving towards meaningful implementation and evaluation across conditions and care settings.
abstract: Models of Care (MoCs) are increasingly recognised as a system-level enabler to translate evidence for 'what works' into policy and, ultimately, clinical practice. MoCs provide a platform for a reform agenda in health systems by describing not only what care to deliver but also how to deliver it. Given the enormous burden of disease associated with musculoskeletal (MSK) conditions, system-level (macro) reform is needed to drive downstream improvements in MSK healthcare - at the health service (meso) level and at the clinical interface (micro) level. A key challenge in achieving improvements in MSK healthcare is sustainable implementation of reform initiatives, whether they be macro, meso or micro level in scope. In this chapter, we introduce the special issue of the Journal dedicated to implementation of MSK MoCs. We provide a contextual background on MoCs, a synthesis of implementation approaches across care settings covered across the chapters in this themed issued, and perspectives on the evaluation of MoCs.
authors.affiliation: School of Physiotherapy and Exercise Science, Curtin University, GPO Box U1987, Perth, WA 6845, Australia. Electronic address: A.Briggs@curtin.edu.au.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Briggs
authors.affiliation: Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore; Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433, Singapore. Electronic address: madelynn_chan@ttsh.com.sg.
authors.forename: Madelynn
authors.initials: M
authors.lastname: Chan
authors.affiliation: School of Physiotherapy and Exercise Science, Curtin University, GPO Box U1987, Perth, WA 6845, Australia. Electronic address: H.Slater@curtin.edu.au.
authors.forename: Helen
authors.initials: H
authors.lastname: Slater
mesh_terms: D003695:Delivery of Health Care / Q000379:methods* / Q000458:organization & administration*; D006801:Humans; D009140:Musculoskeletal Diseases / Q000628:therapy*
keywords: Burden; Evaluation; Implementation; Model of care; Policy