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Priority strategies to reduce socio-gendered inequities in access to person-centred osteoarthritis care: Delphi survey

Authors :
Crystal MacKay
Deborah A Marshall
Cornelia M Borkhoff
Vandana Ahluwalia
Aisha Lofters
Sharon Iziduh
Madeline Theodorlis
Marisa Battistella
Glen Stewart Hazlewood
Angelina Abbaticchio
Source :
BMJ Open, Vol 14, Iss 2 (2024)
Publication Year :
2024
Publisher :
BMJ Publishing Group, 2024.

Abstract

Objectives Osteoarthritis (OA) prevalence, severity and related comorbid conditions are greater among women compared with men, but women, particularly racialised women, are less likely than men to access OA care. We aimed to prioritise strategies needed to reduce inequities in OA management.Design Delphi survey of 28 strategies derived from primary research retained if at least 80% of respondents rated 6 or 7 on a 7-point Likert scale.Setting Online.Participants 35 women of diverse ethno-cultural groups and 29 healthcare professionals of various specialties from across Canada.Results Of the 28 initial and 3 newly suggested strategies, 27 achieved consensus to retain: 20 in round 1 and 7 in round 2. Respondents retained 7 patient-level, 7 clinician-level and 13 system-level strategies. Women and professionals agreed on all but one patient-level strategy (eg, consider patients’ cultural needs and economic circumstances) and all clinician-level strategies (eg, inquire about OA management needs and preferences). Some discrepancies emerged for system-level strategies that were more highly rated by women (eg, implement OA-specific clinics). Comments revealed general support among professionals for system-level strategies provided that additional funding or expanded scope of practice was targeted to only formally trained professionals and did not reduce funding for professionals who already managed OA.Conclusions We identified multilevel strategies that could be implemented by healthcare professionals, organisations or systems to mitigate inequities and improve OA care for diverse women.

Subjects

Subjects :
Medicine

Details

Language :
English
ISSN :
20446055
Volume :
14
Issue :
2
Database :
Directory of Open Access Journals
Journal :
BMJ Open
Publication Type :
Academic Journal
Accession number :
edsdoj.39a53575e3845a284ddb3eeadf40596
Document Type :
article
Full Text :
https://doi.org/10.1136/bmjopen-2023-080301