Barriers identified in current knee osteoarthritis care

November 19, 2016

(HealthDay)—In current knee osteoarthritis care, both personal factors and factors related to health care professionals play a role in treatment nonadherence, according to a study published online Nov. 14 in the Journal of Evaluation in Clinical Practice.

David Spitaels, M.D., from the Catholic University Leuven in Belgium, and colleagues interviewed 11 patients with knee osteoarthritis using a semi-structured script based on quality indicators. Direct content analysis was performed to describe barriers and facilitators in six domains: guideline, health care professional, patient, social environment, organization, and financial context.

The researchers identified 38 barriers in all six domains. The most commonly cited barriers were in the patient and health care professional domains and included patients' disagreement with , negative experience with drugs, patients' limited understanding of the disease process, and poor communication by . Barriers of "insistence on medical imaging," "fear that physical therapy aggravates pain," and "perception that is not a priority health issue" further explained the patients' disagreement with recommendations. Twenty facilitators were also reported, all of which were listed as opposing barriers and included good communication/relationship with health care professional, positive experience with physical therapy, and strong social support.

"Patients indicate that both personal factors and factors related to professionals play an important role in nonadherence," the authors write. "Future guideline implementation strategies should take the identified barriers and facilitators into account."

Explore further: Osteoarthritis care not lining up with recommendations

More information: Full Text (subscription or payment may be required)

Related Stories

Study seeks to improve diabetic eye health

October 11, 2016

While diabetes is the most common cause of blindness in the working-age population in the U.S., only about 55% of lower income adults living with the disease undergo the retinal screening needed to detect and help prevent ...

Patients with IBS often have negative health care encounters

June 1, 2016

(HealthDay)—Patients suffering from severe irritable bowel syndrome (IBS) often have negative experiences of health care encounters, and actively negotiate such professional discourse by presenting a counternarrative describing ...

Recommended for you

High-fat, high-carb diet a cause of osteoarthritis

April 18, 2017

Saturated fat is a prime suspect in the onset of osteoarthritis after QUT scientists found it changed the composition of cartilage, particularly in the weight-bearing joints of the hip and knee.


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.