Connecting Primary Care and Community Services: A New Framework for Comprehensive Osteoarthritis Care.

IF 1.7 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Public Health Management and Practice Pub Date : 2026-11-01 Epub Date: 2026-08-07 DOI:10.1097/PHH.0000000000002406

Julia Chevan, Elizabeth Erck, Heather Murphy, Elizabeth A Fallon, Anika L Foster, Cheryl Schott, Erica L Odom

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引用次数: 0

Abstract

Abstract: Osteoarthritis affects 33.2 million US adults and drives substantial primary care utilization. Despite evidence supporting nonpharmacologic interventions, implementation remains challenging due to limited clinical-community coordination. We conducted a project in which we used existing evidence and developed an integrated primary care and community implementation framework for comprehensive osteoarthritis management through (1) landscape assessment; (2) expert panel input; (3) design sessions; and (4) iterative consultation. The resulting "Public Health Framework for Collaborative Osteoarthritis Management and Wellbeing" integrates existing clinical practice guidelines, electronic health record screening tools, structured referral pathways, and Community Care Hubs that coordinate access to evidence-based programs and social resources. This approach could serve as a model for managing other chronic conditions requiring clinical-community integration.

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连接初级保健和社区服务：综合骨关节炎护理的新框架。

摘要：骨关节炎影响了3320万美国成年人，并推动了大量的初级保健利用。尽管有证据支持非药物干预，但由于有限的临床-社区协调，实施仍然具有挑战性。我们进行了一个项目，我们利用现有的证据，并通过以下方式开发了综合初级保健和社区实施框架，以进行全面的骨关节炎管理：(1)景观评估；(2)专家组意见；(3)设计环节；(4)迭代咨询。由此产生的“协作性骨关节炎管理和福祉的公共卫生框架”整合了现有的临床实践指南、电子健康记录筛查工具、结构化转诊途径和协调循证项目和社会资源访问的社区护理中心。这种方法可以作为管理其他需要临床-社区整合的慢性病的模型。

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来源期刊

Journal of Public Health Management and Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.40

自引率

9.10%

发文量

287

期刊介绍： Journal of Public Health Management and Practice publishes articles which focus on evidence based public health practice and research. The journal is a bi-monthly peer-reviewed publication guided by a multidisciplinary editorial board of administrators, practitioners and scientists. Journal of Public Health Management and Practice publishes in a wide range of population health topics including research to practice; emergency preparedness; bioterrorism; infectious disease surveillance; environmental health; community health assessment, chronic disease prevention and health promotion, and academic-practice linkages.