Stratified models of care

Nadine E. Foster*, Jonathan C. Hill, Peter O'Sullivan, Mark Hancock

*Corresponding author for this work

Research output: Contribution to journalArticle

79 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)649-661
Number of pages13
JournalBest Practice and Research: Clinical Rheumatology
Volume27
Issue number5
DOIs
Publication statusPublished - Oct 2013

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