Barriers for guideline adherence in knee osteoarthritis care: A qualitative study from the patients' perspective.
David SpitaelsPatrik VankrunkelsvenJurgen DesfossesFrank LuytenSabine VerschuerenDieter Van AsscheBert AertgeertsRosella HermensPublished in: Journal of evaluation in clinical practice (2016)
Patients indicate that both personal factors and factors related to health care professionals play an important role in nonadherence. An interview script, based on quality indicators, was a significant aid to structurally formulate barriers and facilitators in the perceived knee OA care. Future guideline implementation strategies should take the identified barriers and facilitators into account.
Keyphrases
- knee osteoarthritis
- healthcare
- end stage renal disease
- ejection fraction
- chronic kidney disease
- newly diagnosed
- quality improvement
- palliative care
- peritoneal dialysis
- prognostic factors
- primary care
- type diabetes
- patient reported outcomes
- mental health
- physical activity
- total knee arthroplasty
- pain management
- metabolic syndrome
- adipose tissue
- insulin resistance
- chronic pain
- skeletal muscle
- weight loss