Journal
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY
Volume 51, Issue 6, Pages 264-268Publisher
J O S P T
DOI: 10.2519/jospt.2021.10428
Keywords
chronic disease; chronic health conditions; health care; integrated care; musculoskeletal; pain
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This article discusses the challenges of delivering integrated care to individuals with chronic musculoskeletal pain and coexisting chronic health conditions, including the relationships between diseases, factors impacting clinician's capacity, and system-level constraints. Suggestions for improvements in integrated care for these patients are also provided by the authors.
Integrated care is a continuum of services delivered by a system organized around the health needs of people rather than diseases. People with chronic musculoskeletal pain often live with coexisting chronic health conditions. Current care for musculoskeletal pain remains narrowly focused on individual painful conditions, despite the complex health needs of patients. We explore the challenges of delivering integrated care to people with musculoskeletal pain and coexisting chronic health conditions. We discuss these challenges in relation to 3 areas: (1) the relationships between musculoskeletal conditions and other chronic health conditions, (2) the factors that impact t clinician's capacity to provide integrated care for musculoskeletal conditions. and (3) system-level constraints that impact both the clinician's delivery of care and the patient's health care experience, We suggest ways by which clinicians and researchers may move toward better integrated care for musculoskeletal pain and coexisting chronic health conditions.
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