GPs and surgeons had an evidence-based understanding of OA. Some GPs report always using imaging to support their OA diagnosis. Conservative management was highly supported by GPs and surgeons, but barriers exist. Treatment barriers include:
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Managing poor patient understanding of OA.
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Unrealistic expectations for treatment.
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Lack of patient motivation and scepticism towards exercise.
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Cost and accessibility of conservative treatment options, particularly access to allied health professionals.
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Poor patient understanding and expectations of surgery.
Some GPs refer ‘early’ to surgery because of long elective surgery wait lists. |
Education and resources for practitioners about:
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Patient directed OA education programs/opportunities.
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Appropriate use of imaging for OA diagnosis.
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Use of ‘first-line’ conservative management prior to surgical referral.
Increased patient education about OA through:Improved reimbursement models supporting conservative management through:Enhanced accessibility and awareness about OA conservative management programs. |