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Victorian Model of Care for Osteoarthritis of the Hip and Knee


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The right care at the right time, by the right team, in the right place and with the right resources for Victorians with osteoarthritis of the hip and knee.

Osteoarthritis (OA) places a major burden on Victorians who live with the condition and their communities. Often health services for people who live with OA are not consistently aligned to their needs or with best evidence for effective care.

OA is not just a disease of old age. The majority of people with the condition remain in their prime income-earning years (25–64 years). By 2030, an estimated 645,898 Victorians will live with OA, representing a 42% increase since 2015.

As a strategy to address the burden of disease of OA in Victoria and optimally align health services to consumers’ needs and evidence, the Victorian Department of Health and Human Services commissioned the development of a Model of Care (MoC). A MoC is an evidence- and consultation-informed framework that describes what and how health services and other resources should be delivered locally to people who live with specific health conditions.

The Victorian Model of Care for Osteoarthritis of the Hip and Knee was informed by an External Expert Advisory Committee and aligns with MoCs in other Australian jurisdictions, Victorian health policy and current care standards and guidelines for OA care.

‘The evidence clearly tells us we can get better outcomes, more cost effectively, for people suffering from OA,’ said Report co-authors Prof Andrew Briggs, from the Victorian Musculoskeletal Clinical Leadership Group and Ms Carolyn Page, from St Vincent’s Hospital. ‘OA is not an inevitable part of ageing and there are simple and effective management and prevention strategies that could be deployed at scale across Victoria to reduce the burden of disease and contain the growing pressure on Victoria’s health service.’

‘People with OA often lack clear, evidence-based information and have to find their own way through a health service system which currently lacks integration,’ according to Mr Rob Anderson, the CEO of MOVE.

The MoC is intended as a best-practice guide and resource for individuals or organisations tasked with the planning or delivery of care to Victorians with hip and/or knee OA. It is relevant to policy makers, health administrators, health funders, service delivery organisations, clinicians, consumers and carers across all care settings (public, private and compensable systems). It is recommended that the MoC be considered along with emerging state and federal health policies, funding agreements and service contracts.

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ERRATUM 
Friday 9 February 2018 
A correction has been made to the media release for the launch of the Victorian Model of Care for Osteoarthritis of the Hip and Knee on Wednesday 7 February 2018.
The statement which read ‘Joint replacement surgery is growing at an unsustainable rate, and it’s estimated as many as one in four of these operations are not required for people with osteoarthritis (OA)’ should have stated ‘Joint replacement surgery is growing at an unsustainable rate, and it’s estimated as many as one in four of these operations may not be appropriate for people with osteoarthritis (OA).’