Implementing good life with osteoArthritis from Denmark (GLA:D®) in Australian public hospitals. Part 2: Service
Michelle A Cottrell1, Maree E Raymer1, Liam R Maclachlan2
1Department of Physiotherapy, Royal Brisbane and Women's Hospital, Metro North Health, Brisbane, Australia.
Musculoskeletal Science & Practice
|April 25, 2024
Summary
The Good Life with osteoArthritis in Denmark (GLA:D®) program shows promise in Australian public hospitals. Service providers support its implementation, but operational factors like staff training and patient complexity require careful consideration for success.
Area of Science:
- Health Services Research
- Musculoskeletal Health
- Implementation Science
Background:
- The Good Life with osteoArthritis in Denmark (GLA:D®) program is established in private settings.
- Public hospital settings present unique challenges for GLA:D® implementation.
- Understanding service provider experiences is crucial for public health integration.
Purpose of the Study:
- To explore service provider attitudes and experiences with GLA:D® implementation.
- To identify facilitators and barriers to GLA:D® in Australian public tertiary hospitals.
Main Methods:
- Qualitative descriptive study design.
- Semi-structured focus groups with 14 service providers across three hospitals.
- Inductive thematic analysis of qualitative data.
Main Results:
- GLA:D® was recognized as an evidence-based program requiring minimal adaptation.
- Challenges included patient comorbidities, paper-based registry preferences, staff training needs, screening, clinical space, and patient access barriers.
- Benefits included improved pain/function, social interaction, high attendance, self-management, and service efficiencies.
Conclusions:
- Service providers support GLA:D® implementation in Australian public hospitals.
- Operational and administrative factors (staff training, patient complexity, registry requirements) are critical for successful embedding and sustainability.
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