An Innovative Canadian Solution for Improved Access to Care for Knee Injuries Using Ã¢ÂÂNon-Physician ExpertsÃ¢ÂÂ: The Calgary Acute Knee Injury ClinicNicholas Mohtadi1*, Denise S Chan1, Breda H Lau2 and Mark R Lafave2
- *Corresponding Author:
- Dr. Nicholas Mohtadi, MD
Clinical Professor, University of Calgary
Sport Medicine Centre, 2500 University Drive NW Calgary
ABT2N 1N4, Canada
E-mail: [email protected]
Received date: December 02, 2011; Accepted date: January 17, 2012; Published date: February 07, 2012
Citation: Mohtadi N, Chan DS, Lau BH, Lafave MR (2012) An Innovative Canadian Solution for Improved Access to Care for Knee Injuries Using “Non- Physician Experts”: The Calgary Acute Knee Injury Clinic. Rheumatology S2:002. doi:10.4172/2161-1149.S2-002
Copyright: © 2012 Mohtadi N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
There is a significant burden of musculoskeletal (MSK) disorders on the Canadian healthcare system which emphasizes the need for improved patient flow and integrated services throughout the MSK clinical care pathway. Improving accessibility, effectiveness, acceptability and efficiency of safe and appropriate care of MSK health using innovative models of healthcare delivery has become an important issue for Canada. This paper is a prospective study that describes and evaluates an evidence-based model for management acute knee injuries in Calgary, Alberta, Canada: the Calgary Acute Injury Knee Clinic model (C-AKIC). C-AKIC model development consisted of three stages: 1) development, implementation and evaluation of a new non-physician expert (NPE) curriculum; 2) identification of the logistics for opening the C-AKIC within an urban setting; and 3) evaluation of the accessibility, effectiveness, acceptability and efficiency of the C-AKIC model relative to the current healthcare system. NPE curriculum improved both theoretical knowledge (12% average increase) and clinical competence (33.5% average increase). NPEs evaluated and managed acute knee injuries in an interdisciplinary team (2 NPEs and a primary care physician) at the C-AKIC. Patients were significantly more satisfied with the new clinical care pathway (M = 91.20 out of 100) compared to patients who went through the existing/traditional pathway (M = 75.58 out of 100). Patients also saw fewer healthcare providers in C-AKIC clinical care pathway (M = 2.14) in a shorter period of time (M = 2.09 months) compared to the existing system: M = 2.76 months and; M = 7.24 months, respectively. This project demonstrated a unique and efficient approach to evaluation and management acute knee injuries in an urban setting by providing a potentially viable solution to the need for human resources in the healthcare workforce.