Chronic disease management: a review of current performance across quality of care domains and opportunities for improving osteoarthritis care

Rheum Dis Clin North Am. 2013 Feb;39(1):123-43. doi: 10.1016/j.rdc.2012.10.005. Epub 2012 Nov 17.


Osteoarthritis is the most prevalent chronic joint disease worldwide. The incidence and prevalence are increasing as the population ages and lifestyle risk factors such as obesity increase. There are several evidence-based clinical practice guidelines available to guide clinician decision making, but there is evidence that care provided is suboptimal across all domains of quality: effectiveness, safety, timeliness and appropriateness, patient-centered care, and efficiency. System, clinician, and patient barriers to optimizing care need to be addressed. Innovative models designed to meet patient needs and those that harness social networks must be developed, especially to support those with mild to moderate disease.

Publication types

  • Review

MeSH terms

  • Chronic Disease / therapy*
  • Comparative Effectiveness Research
  • Decision Making
  • Exercise
  • Humans
  • Long-Term Care
  • Osteoarthritis, Hip / therapy*
  • Osteoarthritis, Knee / therapy*
  • Patient Care Management / methods*
  • Practice Guidelines as Topic
  • Quality of Health Care / standards*
  • Self Care
  • Weight Loss