Skip to main content
About the APA
Acupuncture & dry needling
Cancer, palliative care and lymphoedema
Women's, Men's and Pelvic Health
Leadership & management
Why join the APA
Category eligibilty & fees
Manage your membership
Member only access
Courses and events
Conference & tours
APA Conference 2018
Sports physiotherapy Hong Kong
Professional development guide
Organise your event
Employment at the APA
Australian College of Physiotherapists
Working in Australia
Safer communities for children
Frequently asked questions
Social media guide
Private practice support
Business group resources
HR in practice
National physiotherapy service descriptors
Partners & endorsed products
Scope of practice
Research & Publications
Publications and Advertising
Journal of Physiotherapy
Physiotherapy Research Foundation
APA research portal
Physio & you
What is physio?
Find a physio
APA endorses Victorian Osteoarthritis Model of Care
1 April 2017
Streamlining management and offering best-practice care for a chronic disease is the focus of the APA-endorsed Victorian Osteoarthritis Model of Care for knee and hip. An external expert advisory committee informed the Model of Care (MoC) and included five physiotherapists. Project leads were Carolyn Page, APA Musculoskeletal Physiotherapist, from St Vincent’s Hospital Melbourne, and Associate Professor Andrew Briggs, FACP, from the Victorian Musculoskeletal Clinical Leadership Group.
Despite osteoarthritis (OA) being a major burden on people who live with the disease and their communities, health services have not been consistently aligned to patient needs or with best evidence for effective care. Unlike acute health conditions, chronic diseases pose unique challenges for the health system, the MoC states. Consumers with chronic health conditions require more frequent and prolonged use of health resources, and often develop comorbidities, which often makes planning and delivery of care more complex and resource intensive. The MoC, says Carolyn, delivers an evidence- and consultation-informed framework that describes how health services and other resources should be delivered locally to those who live with the health condition.
‘The aim of the MoC is to provide a system-level, best-practice management framework for hip and knee osteoarthritis that is informed and supported by the health sector,’ Carolyn says. ‘It describes what the components of care should be and how these components of care should be delivered, such that the right care is delivered at the right time, by the right team, in the right place, with the right resources. It gives qualified health professionals a framework for best-practice care and highlights the important role physiotherapists play in the diagnosis and management of osteoarthritis across the disease spectrum. This can include identifying suitable patients for surgery and there are recommendations within the MoC on surgical criteria that should be considered in this process.’
Unlike other chronic diseases such as diabetes, routine monitoring of signs and symptoms is not commonplace for OA, but is critical for delivering appropriate person-centred care, Carolyn says. The MoC summarises specific patient-reported and physical assessments for the OA population, and makes recommendations on minimum assessment to be made.
‘This is a role that physiotherapists can have significant involvement in,’ she says.
Inappropriate care, such as arthroscopic debridement for the management of osteoarthritis and the limited usefulness in magnetic resonance imaging, is outlined in the document. The MoC supports access to effective OA care through community health education, ensuring availability of services and the delivery of accurate information across the state to support effective self-care.
‘To effectively meet consumers’ needs, we need to ensure evidence-based care is delivered more systematically, and ensure health services meet increasing consumer demands,’ Carolyn says. ‘This MoC provides that.’
The MoC states that this needs to be done through many models, including improved access to allied health providers and strategies that support effective self-care, such as making sure people can access health facilities; ensuring best practice material is readily available to health providers and building workforce capability. Information and communication technologies are outlined as a key enabler of delivery of care, as telehealth and website services can provide wider and easier access to specialist and allied health professionals.
The Victorian MoC aligns to the Australian Commission on Safety and Quality in Health Care’s Clinical Care Standards for OA..
Understanding the TAC fee structure
Treating patients injured in a traffic accident should not mean patient or practitioner is left out of pocket.
Mobile disability service drives change
Earlier this year, non-for-profit organisation Scope launched its first specialised physiotherapy service for rural Victorian children - GoKids Mobility Service. Dr Jennifer Fitzgerald, APAM, speaks about the dream that became reality.
What happens at a job show?
The APA Student Job Show takes place in October each year, connecting future physiotherapy graduates with employers from across several fields of physiotherapy.
Pat Cosh Trust Fund grants 2017