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    Stratified models of care

    Access Status
    Fulltext not available
    Authors
    Foster, N.
    Hill, J.
    O'Sullivan, Peter
    Hancock, M.
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Foster, Nadine E. and Hill, Jonathan C. and O'Sullivan, Peter and Hancock, Mark. 2013. Stratified models of care. Best Practice & Research Clinical Rheumatology. 27 (5): pp. 649-661.
    Source Title
    Best Practice & Research Clinical Rheumatology
    DOI
    10.1016/j.berh.2013.10.005
    ISSN
    15216942
    URI
    http://hdl.handle.net/20.500.11937/5510
    Collection
    • Curtin Research Publications
    Abstract

    Stratified care for back pain involves targeting treatment to subgroups of patients based on their key characteristics such as prognostic factors, likely response to treatment and underlying mechanisms. It aims to tailor therapeutic decisions in ways that maximise treatment benefit, reduce harm and increase health-care efficiency by offering the right treatment to the right patient at the right time. From being called the ‘Holy Grail’ of back pain research over a decade ago, stratified care is becoming the zeitgeist in research and clinical practice. In this chapter, we introduce and evaluate the quality and underpinning evidence for three examples of stratified care for back pain to highlight their general principles, research design issues and clinical practice implications. We include consideration of their merits for implementation in practice. We conclude with a set of remaining, key research questions.

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