The Influence of a Guideline-Concordant Stepped Care Approach on Downstream Health Care Utilization in Patients with Spine and Shoulder Pain | Zendy

Daniel I. Rhon | Zendy; Tina A. Greenlee | Zendy; Julie M. Fritz | Zendy

Open Access

The Influence of a Guideline-Concordant Stepped Care Approach on Downstream Health Care Utilization in Patients with Spine and Shoulder Pain

Author(s) -

Daniel I. Rhon,

Tina A. Greenlee,

Julie M. Fritz

Publication year - 2018

Publication title -

pain medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.893

H-Index - 97

eISSN - 1526-4637

pISSN - 1526-2375

DOI - 10.1093/pm/pny212

Subject(s) - medicine , medical prescription , psychological intervention , guideline , confidence interval , health care , physical therapy , observational study , emergency medicine , psychiatry , nursing , pathology , economics , economic growth

Stepped care approaches are emphasized in guidelines for musculoskeletal pain, recommending less invasive or risky evidence-based intervention, such as manual therapy (MT), before more aggressive interventions such as opioid prescriptions. The order and timing of care can alter recovery trajectories.

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