Musculoskeletal care · 2026
'All Under One Roof': Health Professional Perspectives on Integrating Musculoskeletal Pain Management in a Proximity-Based Primary Healthcare Model.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Fjaagesund Shauna, Campbell Gary, Graham Wayne, Sayers Mark, Hou Xiang-Yu, Fraser Ryan, Orchard Jodie, Ungureanu Marius, Coman Alexandru, Oprescu Florin
Аннотация
INTRODUCTION: Musculoskeletal (MSK) pain is a leading contributor to disability and service demand in primary healthcare (PHC), particularly in socioeconomically disadvantaged communities. Contemporary responses increasingly emphasise people-centred, multimodal and non-pharmacological approaches. However, in practice, service integration is often limited to co-location, with insufficient clarity regarding how collaboration and integration are operationalised within private, fee-for-service PHC environments.
METHODS: This qualitative study explored how 22 health professionals working within a large-scale, proximity-based primary healthcare precinct in Australia defined and experienced service integration for MSK pain management. Semi-structured interviews were conducted across two timepoints (2021 and 2023) and analysed using reflexive thematic analysis, informed by implementation and people-centred care principles.
RESULTS: Three interdependent enablers of integration were identified: (1) Relationships, enabled by physical proximity, including shared philosophy and respect for professional roles; (2) Communication, characterised by knowledge exchange, forward momentum and shared processes; and (3) Consumer-centred access, via availability of affordable and needed services. Integration was experienced as a continuum, ranging from parallel multidisciplinary practice to higher-order interdisciplinary collaboration involving shared processes and collective responsibility for consumer outcomes.
CONCLUSION: Within this site-specific context, physical proximity acted as a necessary but insufficient condition for effective integration. Higher levels of interdisciplinary practice emerged only when proximity was combined with shared values, effective communication and coordinated consumer flow. These findings provide a base for how proximity-based primary healthcare environments can operationalise people-centred integration and can inform scalable models of MSK care in private PHC settings.
METHODS: This qualitative study explored how 22 health professionals working within a large-scale, proximity-based primary healthcare precinct in Australia defined and experienced service integration for MSK pain management. Semi-structured interviews were conducted across two timepoints (2021 and 2023) and analysed using reflexive thematic analysis, informed by implementation and people-centred care principles.
RESULTS: Three interdependent enablers of integration were identified: (1) Relationships, enabled by physical proximity, including shared philosophy and respect for professional roles; (2) Communication, characterised by knowledge exchange, forward momentum and shared processes; and (3) Consumer-centred access, via availability of affordable and needed services. Integration was experienced as a continuum, ranging from parallel multidisciplinary practice to higher-order interdisciplinary collaboration involving shared processes and collective responsibility for consumer outcomes.
CONCLUSION: Within this site-specific context, physical proximity acted as a necessary but insufficient condition for effective integration. Higher levels of interdisciplinary practice emerged only when proximity was combined with shared values, effective communication and coordinated consumer flow. These findings provide a base for how proximity-based primary healthcare environments can operationalise people-centred integration and can inform scalable models of MSK care in private PHC settings.