Objectives {7}
disability, Pain, pain
ADVERSE EVENTS, MINOR
Thus, the aim of our project is to evaluate the impact of an APP-led model of care compared to usual physician ED care for persons presenting with minor MSKD. The specific objectives are:To compare the effectiveness of both types of care in terms of patient-related outcomes for patients with minor MSKD in six Canadian EDs, at discharge from the ED and 4, 12, and 26 weeks after the ED consultation, on the following outcomes:Primary outcome: the Brief Pain Inventory (BPI) – Interference of pain on function subscaleSecondary outcomes: pain intensity, disability, patient satisfaction with care, and adverse events.To compare health care resource utilization between both types of care at ED discharge and at 4, 12, and 26 weeks after the initial consultation, including proportion of ED return visits for the same complaint, medication prescriptions, prescriptions for imaging and laboratory tests, and referral to other health care providersTo compare both types of care in terms of health care costs from the public payer’s perspective and perform a cost-utility analysis, at ED discharge and at 4, 12, and 26 weeks after the initial consultationTo compare wait to initial assessment and ED length of stay between both types of care for the evaluation and treatment of participants during their ED visitWe hypothesize that integrating APP-led care in the ED will be at least as effective as usual ED physician care for patients with a MSKD, in terms of patient-related and health care resource utilization-related outcomes. Furthermore, health care costs will be lower in the APP-led care arm.