From: Characteristics of evolving models of care for arthritis: A key informant study
1. Patient Self-Management |
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   ▪ 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 |