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Including preferences of patients with osteoarthritis into policy interventions
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Scientific Study Title:
Towards a patient-centered system: Integrating preferences of patients with osteoarthritis into evaluation of health services interventions to improve patient outcomes and health system efficiency
Start Date:
  • April 2019
End Date:
  • March 2027
Research Category
Tags
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Deborah A. Marshall
Senior Scientist, Health Services Research and Health Economics, PhD
Glen Hazlewood-Website Headshot-400x400
Glen Hazlewood
Research Scientist, Rheumatology, MD, PhD, FRCPC
Claire Barber-Website Headshot-400x400
Claire Barber
Research Scientist, Rheumatology, MD, PhD, FRCPC

Ready to Participate?

Want to participate in this study? Learn more here.
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Why do this research?

Reason For Research

Osteoarthritis (OA) is a chronic disease affecting 10-15% of Canada’s population. It causes severe pain and disability, and is the leading cause of joint replacement surgery. Healthcare service planning does not currently consider patient preferences and their impact on health interventions. This could lead to the introduction of programs that patients do not use, which is a waste of system resources. The consideration of patient preferences with uptake of health services and the impact on wait times, patient outcomes and costs are important to inform the design of effective patient-centered health services delivery.

Methodology

Execution of Research

In previous work by our team, we built a model that simulated OA patient flows, healthcare resource use and costs. We will measure individual patient preferences, and include these in the simulation model. Then, we will use the model to evaluate how patient outcomes and system performance changes with new health interventions, taking into account how many patients would choose those interventions.

We will look at two different policies aimed at addressing wait times for surgery. The first is a referral management policy which would give patients information about wait times for different surgeons, and allows them to choose their preferred surgeon or the surgeon with the shortest wait time. The second policy offers patients the choice of an evidence-based conservative medical management program. Our study will look at whether patients would use this alternative program and how this varies based on things like cost. Depending on patient choices, both policies may shorten overall wait times, improve outcomes and reduce costs.

Who is involved?

Involvement

Our team of OA clinicians, decision makers, researchers, patients and analysts will ensure our research is clinically meaningful and is translated into patient-centered policy and practice.

 

If you would like more information about this study, please contact:

Gillian R. Currie

currie@ucalgary.ca

 

 

External Partners & Contacts

Kelly Dinsmore, Edmonton Musculoskeletal Centre

Trainees:

Darren Mazzei, BSc Kin, MPT, PhD Student, Arthritis Research Canada Trainee (University of Calgary)

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