Transforming Musculoskeletal Care: Effectiveness of a Physician-Led Telemedicine Integrated Practice Unit.

IF 1.9 Q3 HEALTH CARE SCIENCES & SERVICES

Telemedicine reports Pub Date : 2025-09-25 eCollection Date: 2025-01-01 DOI:10.1177/26924366251382437

Ryan A Grant, Mary I O'Connor, Patrick Myers, Jim Fiechtl

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Abstract

Background: The growing crisis of musculoskeletal (MSK) disease is overwhelming health care systems and straining payors worldwide. Current telemedicine programs that focus solely on exercise therapy are not structured to deliver comprehensive care. In contrast, physician-led integrated practice units (IPUs)-multidisciplinary medical teams designed around patient-centered, holistic care-offer an innovative path forward.

Methods: We analyzed the clinical outcomes of 2,851 patients treated in our digital MSK IPU.

Results: Pain (scale, 0-10) improved in 75.2% of all patients from 4.7 to 2.6 and in 84.2% in those with severe pain (≥7) from 7.7 to 4.1. Functional status (Single assessment numeric evaluation [SANE] scale, 0-100) in 2,018 patients, significantly improved in 68.9% from 54.6 to 73.7. Even more compelling, in 274 patients with severe functional compromise (SANE ≤20), scores improved 599.0% from 7.9 to 55.1.

Conclusion: Our results underscore the power of a telemedicine-based IPU to deliver significant reductions in pain and dramatic functional gains, even for patients starting with severe limitations. As the demand for MSK care continues to surge, a digital MSK IPU is a promising model to support both access to care and quality clinical outcomes.

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转变肌肉骨骼护理：医生主导的远程医疗综合实践单位的有效性。

背景：肌肉骨骼（MSK）疾病日益严重的危机是压倒性的卫生保健系统和紧张的付款人全世界。目前的远程医疗项目只关注运动疗法，无法提供全面的护理。相比之下，医生主导的综合实践单位（ipu）——围绕以患者为中心的整体护理设计的多学科医疗团队——提供了一条创新的前进道路。方法：我们分析了2851例在我们的数字MSK IPU治疗的患者的临床结果。结果：从4.7到2.6,75.2%的患者疼痛（评分0-10）得到改善；从7.7到4.1，重度疼痛（≥7）患者有84.2%的患者疼痛（评分0-10）得到改善。2018例患者的功能状态（单次评估数值评估[SANE]量表，0-100）从54.6显著改善到73.7，改善率为68.9%。更令人信服的是，在274例严重功能损害（SANE≤20）患者中，得分从7.9提高到55.1，提高了599%。结论：我们的研究结果强调了基于远程医疗的IPU的力量，它可以显著减少疼痛，并显著提高功能，即使对于患有严重限制的患者也是如此。随着对MSK护理的需求持续激增，数字MSK IPU是一种有前途的模式，可以支持获得护理和高质量的临床结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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