title: Patients' perceived health service needs for osteoarthritis (OA) care: a scoping systematic review.
abstract: To identify and synthesise evidence regarding patients' perceived health service needs related to osteoarthritis (OA).
  
  
  
  A comprehensive systematic scoping review of MEDLINE, PsycINFO, EMBASE and CINAHL (1990-2016) was performed to capture information regarding patient perceived health service needs related to OA. Risk of bias and quality of included articles were assessed. Relevant data were extracted and collated to provide a systematic review of the existing literature.
  
  
  
  Of the 1384 identified manuscripts, 21 were relevant to areas of patient perceived need, including needs related to medical care, pharmacologic therapy, physiotherapy and exercise therapy and alternative medicine. Key findings included (1) Symptom control drove the need for both conventional and complementary services. (2) An individualized relationship was sought with a practitioner knowledgeable in OA care and who adopted a holistic approach, whether providing conventional or alternative therapies. (3) Medications were required to obtain symptomatic relief, with use tempered by recognition of potential side effects and financial cost. (4) The need for allied health services was recognised, although patient and system issues were barriers to uptake. (5) Patient's attitudes towards joint replacement, orthoses and physical aids were influenced by patient preferences and previous healthcare experiences.
  
  
  
  Patient perceived needs are similar to those suggested by clinical guideline recommendations. Better aligning patient perceived needs with healthcare requirements may improve OA outcomes and optimise healthcare system utilisation.
authors.affiliation: Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: michellecp89@gmail.com.
authors.forename: M C
authors.initials: MC
authors.lastname: Papandony
authors.affiliation: Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: louisa.chou@monash.edu.
authors.forename: L
authors.initials: L
authors.lastname: Chou
authors.affiliation: Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: maheeka.seneviwickrama@monash.edu.
authors.forename: M
authors.initials: M
authors.lastname: Seneviwickrama
authors.affiliation: Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: flavia.cicuttini@monash.edu.
authors.forename: F M
authors.initials: FM
authors.lastname: Cicuttini
authors.affiliation: Monash University Library, Monash University, Melbourne, Victoria, Australia. Electronic address: kaye.lasserre@monash.edu.
authors.forename: K
authors.initials: K
authors.lastname: Lasserre
authors.affiliation: Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia; Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia. Electronic address: andrew.teichtahl@monash.edu.
authors.forename: A J
authors.initials: AJ
authors.lastname: Teichtahl
authors.affiliation: Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: yuanyuan.wang@monash.edu.
authors.forename: Y
authors.initials: Y
authors.lastname: Wang
authors.affiliation: School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia; MOVE: Muscle, Bone & Joint Health, Victoria, Australia. Electronic address: A.Briggs@curtin.edu.au.
authors.forename: A M
authors.initials: AM
authors.lastname: Briggs
authors.affiliation: Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: anita.wluka@monash.edu.
authors.forename: A E
authors.initials: AE
authors.lastname: Wluka
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001294:Attitude to Health; D005081:Exercise Therapy; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000523:psychology / Q000628:therapy*; D010465:Perception; D026741:Physical Therapy Modalities
chemical_list: D000893:Anti-Inflammatory Agents
keywords: Health services; Osteoarthritis; Patient perspective