Morgan P Lorio, Kai-Uwe Lewandrowski, Kenneth Blum
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They are expected to go hand-in-hand with the precision medicine redefinition of musculoskeletal care. More effective analysis of surgeons' clinical decision-making and patients' perception of high-value orthopaedic care is needed. Shared Decision Making (SDM) is critical to identifying the best solution for each patient and improving stakeholders' understanding of factors influencing the diverse prioritizing values of surgical or non-surgical treatments by payers, systems, and other providers. Identifying high-value orthopaedic surgeries via effective SDM in orthopedic surgery requires more than just presenting patients with information. The Rasch analysis of patient expectations can provide this nuanced approach that involves understanding patient values, addressing misconceptions, and aligning surgical recommendations with patient-specific goals. 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引用次数: 0
摘要
目前,骨科领域出现了几种采用转化研究策略、以患者为中心的多重护理模式的趋势。这些趋势与疼痛表观遗传学的讨论不谋而合,疼痛表观遗传学是一种疼痛管理的临床方法,它优先考虑根据个人需求、偏好和具体情况量身定制医疗服务。认识到影响疼痛感知的独特遗传和表观遗传因素,医疗服务提供者可以将个性化见解融入以患者为中心的方法中,根据每个人的经验提供更有针对性和更有效的疼痛管理策略。定制 3D 打印技术在更有效、更可靠地治疗疼痛性退行性结构异常方面的作用也会越来越大。它们有望与肌肉骨骼护理的精准医疗重新定义齐头并进。需要对外科医生的临床决策和患者对高价值骨科护理的认知进行更有效的分析。共同决策(SDM)对于确定每位患者的最佳解决方案以及提高利益相关者对影响支付方、系统和其他提供方对手术或非手术治疗的不同优先价值的因素的理解至关重要。在骨科手术中,通过有效的 SDM 识别高价值骨科手术需要的不仅仅是向患者提供信息。对患者期望的 Rasch 分析可以提供这种细致入微的方法,其中包括了解患者的价值观、消除误解以及根据患者的具体目标调整手术建议。在以患者为中心的框架内优化骨科治疗,可以推动报销政策的创新,从而更广泛地支持这一领域的发展。将高价值和低价值骨科手术区分开来的研究可能会影响医疗决策者的资源分配。
Top Three Healthcare Trends in Orthopaedics Affecting Musculoskeletal Care in the Elderly.
Several trends toward patient-centered multi-care models employing translational research strategies are currently emerging in orthopaedics. These align seamlessly with epigenetics discussions in pain, a clinical approach to pain management that prioritizes tailoring healthcare to individual needs, preferences, and circumstances. Recognizing the unique genetic and epigenetic factors influencing pain perception, healthcare providers can integrate personalized insights into their patient-centered approach, offering more targeted and effective pain management strategies tailored to each individual's experience. Custom 3D-printing technologies may also become increasingly relevant to more effectively and reliably treat painful degenerative structural abnormalities. They are expected to go hand-in-hand with the precision medicine redefinition of musculoskeletal care. More effective analysis of surgeons' clinical decision-making and patients' perception of high-value orthopaedic care is needed. Shared Decision Making (SDM) is critical to identifying the best solution for each patient and improving stakeholders' understanding of factors influencing the diverse prioritizing values of surgical or non-surgical treatments by payers, systems, and other providers. Identifying high-value orthopaedic surgeries via effective SDM in orthopedic surgery requires more than just presenting patients with information. The Rasch analysis of patient expectations can provide this nuanced approach that involves understanding patient values, addressing misconceptions, and aligning surgical recommendations with patient-specific goals. Optimizing orthopaedic treatment within the patient-centered framework can drive innovation in reimbursement policies that support the field more broadly. Research on separating high-value from low-value orthopaedic procedures may likely impact healthcare decision- makers' resource allocation.