The study aims to determine if a New Arthroplasty Care Model, established on evidence-based medicine and best practices, will improve patient outcomes and improve cost effectiveness for patients with severe degenerative joint disease of the hip or knee in Alberta
The Alberta Orthopaedic Society through its Arthroplasty Service Design Working Group has, after carefully reviewing the existing conventional approach to arthroplasty care, developed what they believe could be a much improved new evidence based arthroplasty care model. This model represents how ideally a patient would access and receive health services across the complete continuum of care. In addition, wherever possible, evidence gathered from the literature and from "known best practices" has been utilized to develop standards related to access, wait times, clinical quality, resource use and health outcome measures. Where no evidence or "known best practices" exist, a standard that best support achieving other known standards are being developed. This new evidence based arthroplasty model seeks to significantly minimize and where possible, eliminate all the current gaps and barriers to arthroplasty care. This study will seek to prove that the new evidence based arthroplasty model will deliver improved patient outcomes with improved cost effectiveness. Once proven, it is anticipated that this new evidence based arthroplasty model will become the standard of care in Alberta, and a model for other jurisdictions to use in their health service re-designs
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
3,434
Patient experience surgery through newly designed arthroplasty continuum
Alberta Bone and Joint Health Institute
Calgary, Alberta, Canada
health related quality of life scores
Time frame: 3 month and 12 months post-surgery
health resource utilization
Time frame: 3 month and 12 months post-surgery
wait time
Time frame: Pre-surgery
safety
Time frame: 3 month and 12 months post-surgery
cost utility
Time frame: 3 month and 12 months post-surgery
patient satisfaction
Time frame: 3 month and 12 months post-surgery
provider satisfaction
Time frame: 3 month and 12 months post-surgery
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