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Table 2 Key Elements Identified to Improve Arthritis Models of Care

From: Characteristics of evolving models of care for arthritis: A key informant study

1. Patient Self-Management

   ▪ Patients manage their care through support for self-management

   ▪ Patient-centred education considering individual patient needs and readiness for information

2. Provider skills and expertise

   ▪ Providers are confident and skilled in musculoskeletal examination and knowledgeable of arthritis care and best practices

3. Team structure and process

   ▪ Multidisciplinary composition of team as needed

   ▪ Mechanisms for communication/interaction within team including the patient

   ▪ The team has a clear understanding of the roles in the team

   ▪ Mutual respect, trust and equality within team

   ▪ Skills of all providers in the team are maximized

4. Health Care Delivery

   ▪ Timely access

   ▪ Client-centred approach to care delivery

   ▪ Coordination of care across the continuum and assistance for patients navigating the system

   ▪ Comprehensive services including self-management support and non-pharmacologic interventions such as exercise

   ▪ Evidence-based care

   ▪ Continuity of care

   ▪ Develop multiple entry points to system for patients to access care without delay

5. Health System

   ▪ Stable funding

   ▪ Holistic chronic disease approach

   ▪ Technology to share patient information across the system

   ▪ Monitoring systems and research and evaluation

   ▪ Leadership and local champions

   ▪ Health human resource planning

6. Community

   ▪ Partnerships between organizations and community programs

   ▪ Clients are linked to community services at the right stage of the disease process

   ▪ Community involvement

7. Public Awareness and Primary Prevention

   ▪ Public awareness of arthritis

   ▪ Primary prevention strategies