2f:I[703058,["/_next/static/immutable/chunks/3bhq_5eh1d760.js","/_next/static/immutable/chunks/1855-ogyi8eh4.js","/_next/static/immutable/chunks/2pfsjpn6k6zlg.js","/_next/static/immutable/chunks/26c7v3_3uwnwu.js","/_next/static/immutable/chunks/25a3ozcrvi1ff.js","/_next/static/immutable/chunks/2r4wx50nvjh_4.js","/_next/static/immutable/chunks/23fsw06hsi5b1.js","/_next/static/immutable/chunks/06_yt270h41rg.js","/_next/static/immutable/chunks/3ezsiz-7shkna.js","/_next/static/immutable/chunks/20x2y96ldu5wx.js","/_next/static/immutable/chunks/2lxntcm3pd1_h.js","/_next/static/immutable/chunks/00dgco8irq3jw.js","/_next/static/immutable/chunks/00nwe-kq0rboc.js","/_next/static/immutable/chunks/2051ffx3xzio9.js"],"PaperListPageClient"] 30:T649,Osteoarthritis (OA) is a prevalent, debilitating and costly chronic condition. National and international guidelines recommend the conservative treatment strategies of body mass reduction and exercise for the management of hip and knee OA because of the strong evidence to support the efficacy of these interventions. Despite this, these conservative management strategies are currently underutilised in Australia. Appropriately designed, novel models of care may play a role in improving the utilisation of appropriate conservative treatment strategies for hip and knee OA. Therefore, a qualitative study was conducted to investigate patient and clinician perspectives of a novel multidisciplinary case conference model to conservatively manage hip and knee OA within a primary care setting. Qualitative data were collected via telephone-based semi-structured one-on-one interviews with patients with OA (n = 11), general practitioners (n = 2), accredited exercise physiologists (n = 2), accredited practising dietitians (n = 2) and practice nurses (n = 2). Thematic content analysis led to the generation of four major themes from the data: (i) potential benefits; (ii) foreseeable challenges; (iii) the benefit-engagement cycle and (iv) maintenance of lifestyle changes. The proposed multidisciplinary model of care to conservatively manage hip and knee OA was perceived by both patients and clinicians to have many benefits and a limited number of manageable challenges. The identified challenges provide guidance on how the model should be refined before it is implemented in clinical practice.31:T891, Background Osteoarthritis (OA) is a prevalent, debilitating and costly chronic condition. National and international guidelines recommend the conservative treatment strategies of body mass reduction and exercise for the management of hip and knee OA because of the strong evidence to support the efficacy of these interventions. Despite this, these conservative management strategies are currently underutilised in Australia. Appropriately designed, novel models of care may play a role in improving the utilisation of appropriate conservative treatment strategies for hip and knee OA. Therefore, a qualitative study was conducted to investigate patient and clinician perspectives of a novel multidisciplinary case conference model to conservatively manage hip and knee OA within a primary care setting. Methods Qualitative data were collected via telephone-based semi-structured one-on-one interviews with patients with OA (n = 11), general practitioners (n = 2), accredited exercise physiologists (n = 2), accredited practising dietitians (n = 2) and practice nurses (n = 2). Results Thematic content analysis led to the generation of four major themes from the data: (i) potential benefits; (ii) foreseeable challenges; (iii) the benefit-engagement cycle and (iv) maintenance of lifestyle changes. Conclusion The proposed multidisciplinary model of care to conservatively manage hip and knee OA was perceived by both patients and clinicians to have many benefits and a limited number of manageable challenges. The identified challenges provide guidance on how the model should be refined before it is implemented in clinical practice. 32:T55e,Women and children experiencing domestic, family and sexual violence in Australia face barriers to accessing primary care. To overcome these barriers, a proactive and integrated primary care outreach service for women and their children was piloted on the Central Coast of New South Wales, Australia. This study explored the acceptability and feasibility of the service from the perspective of service providers and women using the service. Eight service providers and six women who had used the service were interviewed. Different aspects of service feasibility were explored and the Levesque's Conceptual Framework of Access to Health was used to investigate the service's acceptability. Four overarching themes relating to the service's acceptability and feasibility were identified: (1) Delivering trauma-informed care; (2) Removing barriers to care; (3) Skilled providers working collaboratively; and (4) Sustainability and expansion of the service. The service used an intensive and flexible approach to address the complex needs of clients. Key features of the model that were valued by both clients and service providers included the ability to provide care in locations that were safe and convenient to clients, provision of trauma-informed care, advocacy activities, and multidisciplinary care. Communication among providers was seen as key to the model's success.33:T7af, Background Women and children experiencing domestic, family and sexual violence in Australia face barriers to accessing primary care. To overcome these barriers, a proactive and integrated primary care outreach service for women and their children was piloted on the Central Coast of New South Wales, Australia. This study explored the acceptability and feasibility of the service from the perspective of service providers and women using the service. Methods Eight service providers and six women who had used the service were interviewed. Different aspects of service feasibility were explored and the Levesque’s Conceptual Framework of Access to Health was used to investigate the service’s acceptability. Results Four overarching themes relating to the service’s acceptability and feasibility were identified: (1) Delivering trauma-informed care; (2) Removing barriers to care; (3) Skilled providers working collaboratively; and (4) Sustainability and expansion of the service. Conclusions The service used an intensive and flexible approach to address the complex needs of clients. Key features of the model that were valued by both clients and service providers included the ability to provide care in locations that were safe and convenient to clients, provision of trauma-informed care, advocacy activities, and multidisciplinary care. Communication among providers was seen as key to the model’s success. 25:[[["$","script","0",{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"CollectionPage\",\"name\":\"Multidisciplinary Care: modality Research & Clinical Takeaways\",\"description\":\"Explore peer-reviewed papers on Multidisciplinary Care (modality). Clinician-written summaries and actionable practice insights. 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Level of evidence reflects expert consensus only.","value_numeric":null},{"paper_doi":"10.1016/s2468-1253(26)00015-4","tag_type":"warning","value":"The study design label 'Commission Report' does not map to a standard RCT/observational hierarchy; level of evidence set to 7 (expert opinion/narrative review).","value_numeric":null},{"paper_doi":"10.1016/s2468-1253(26)00015-4","tag_type":"warning","value":"The term 'syndemic' is used to describe the co-occurrence and interaction of liver disease with social determinants and other conditions — clinicians unfamiliar with this framing should note it is a conceptual/public health lens, not a clinical diagnosis.","value_numeric":null}],"summaries":{"what_studied":"This Lancet Commission reviewed evidence and developed recommendations on the role of primary care in preventing, detecting, and managing liver disease globally, with a focus on reducing health disparities, integrating care for multimorbidity, and leveraging digital innovation.","key_result":"Primary care is identified as uniquely positioned to deliver population-level liver disease prevention and early detection, yet liver disease has received minimal attention in primary care policy, training, and system design worldwide. The Commission issues recommendations across six central themes: reducing inequalities, defining a minimum primary care service package, embedding liver health in NCD strategies, digital innovation, multidisciplinary collaboration, and a coordinated research agenda.","limitations":"As a Commission report, recommendations are based on expert consensus and evidence review rather than primary trial data; no original quantitative analysis or clinical outcomes data are reported. The breadth of the global scope may limit specificity of recommendations for individual health systems.","practice_takeaway":"Primary care clinicians should proactively screen and manage liver disease—especially steatotic liver disease and chronic viral hepatitis—as part of routine NCD care, with particular attention to marginalised and low-socioeconomic-status populations. Integrated, person-centred pathways that address comorbidities like diabetes and mental illness are essential to reducing liver disease burden."}},{"doi":"10.1136/archdischild-2025-328977","pmid":"42173667","title":"Risk mitigation for children and young people in mental health crisis admitted to acute paediatric care: a mixed methods exploratory study","journal_title":"Archives of Disease in Childhood","journal_issn":"0003-9888","published_at":"2026-05-22T00:00:00.000Z","url":"https://doi.org/10.1136/archdischild-2025-328977","source_score":3,"is_retracted":false,"is_open_access":false,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-05-27T15:43:14.053Z","updated_at":"2026-05-27T15:43:14.053Z","tags":[{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"age_group","value":"pediatric","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"category","value":"Pediatrics","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"condition","value":"Mental Health Crisis","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"condition","value":"Paediatric Psychiatric Emergency","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"impact_flag","value":"practice_changing","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"level_of_evidence","value":"5","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"modality","value":"Environmental Modification","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"modality","value":"Multidisciplinary Care","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"modality","value":"Risk Mitigation / Safety Planning","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"sample_size","value":"n=16","value_numeric":16},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"sex","value":"mixed","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"study_design","value":"Mixed Methods Study","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"warning","value":"No clinical outcome data (e.g., rates of self-harm, adverse events) were reported — strategies are consensus-endorsed but not yet evaluated in prospective trials.","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"warning","value":"Study design is described as 'exploratory'; level of evidence assigned as 5 (expert consensus/qualitative) reflects this.","value_numeric":null},{"paper_doi":"10.1136/archdischild-2025-328977","tag_type":"warning","value":"The sample size of 16 experts is small; consensus thresholds (≥70%) should be interpreted with caution given the limited panel size.","value_numeric":null}],"summaries":{"what_studied":"This UK mixed-methods study identified and prioritised risk mitigation strategies for children and young people (CYP) in mental health crisis admitted to acute paediatric (non-specialist) wards, using a systematic review, qualitative interviews, and a hybrid Nominal Group Technique/modified Delphi process with 16 healthcare professionals and CYP experts.","key_result":"26 risk mitigation strategies were identified; 16 reached expert consensus (≥70%) for clinical usefulness. Top strategies included structured safety checks on admission and daily, environmental modification (reducing noise, crowding, ligature risks), therapeutic 1:1 observation, timely escalation to specialist mental health services, and multidisciplinary safety huddles — all mapped to low/medium/high/very-high risk tiers.","limitations":"- Small expert panel (n=16) limits generalisability of consensus findings.\n- No patient outcomes data; strategies are consensus-based, not yet validated in clinical trials.\n- UK-specific context may reduce applicability in systems with different paediatric/mental health service structures.","practice_takeaway":"Paediatric teams without specialist mental health training can act now: implement structured safety checks on admission and daily, modify the environment to reduce ligature risks and sensory triggers, and use multidisciplinary safety huddles to escalate CYP in mental health crisis proportionately to their assessed risk level."}},{"doi":"10.1016/j.arbres.2026.01.014","pmid":"41692675","title":"Consensus Document on the Multidisciplinary Management of Advanced-Stage Respiratory Diseases","journal_title":"Archivos de Bronconeumología","journal_issn":"0300-2896","published_at":"2026-01-31T00:00:00.000Z","url":"https://doi.org/10.1016/j.arbres.2026.01.014","source_score":8,"is_retracted":false,"is_open_access":false,"raw_metadata":{"pubmed":true,"crossref":true,"unpaywall":true},"created_at":"2026-07-09T13:35:51.538Z","updated_at":"2026-07-09T13:35:51.538Z","tags":[{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"age_group","value":"adult","value_numeric":null},{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"category","value":"Respiratory System","value_numeric":null},{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"condition","value":"Chronic Obstructive Pulmonary Disease","value_numeric":null},{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"condition","value":"Interstitial Lung Disease","value_numeric":null},{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"impact_flag","value":"practice_changing","value_numeric":null},{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"level_of_evidence","value":"5","value_numeric":null},{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"modality","value":"Multidisciplinary Care","value_numeric":null},{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"modality","value":"Palliative Care","value_numeric":null},{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"study_design","value":"Clinical Practice Guideline / Consensus Document","value_numeric":null},{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"warning","value":"No original patient-level data are reported; all 70 recommendations are derived from expert consensus and systematic literature review using SIGN methodology.","value_numeric":null},{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"warning","value":"Sex breakdown of the patient population is not reported in the abstract.","value_numeric":null},{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"warning","value":"Study design is classified as a consensus/guideline document — level of evidence (5) reflects expert opinion tier, not a primary research study.","value_numeric":null},{"paper_doi":"10.1016/j.arbres.2026.01.014","tag_type":"warning","value":"The consensus was developed by Spanish societies (SEPAR and SECPAL); applicability to healthcare systems outside Spain may vary.","value_numeric":null}],"summaries":{"what_studied":"A joint SEPAR/SECPAL multidisciplinary panel used SIGN methodology and systematic literature review to develop consensus recommendations for integrated palliative and disease-directed care in advanced COPD and interstitial lung diseases (ILD), covering symptom management, quality of life, shared decision-making, caregiver support, and care coordination.","key_result":"The panel produced 70 evidence-based recommendations across six key domains, advocating a needs-based (rather than prognosis-based) approach to earlier identification of patients with advanced COPD or ILD who would benefit from timely palliative care integration.","limitations":"As a consensus document, recommendations reflect expert opinion and systematic review synthesis rather than original trial data; generalizability beyond the Spanish healthcare context may be limited; no direct patient outcome data are reported.","practice_takeaway":"Shift from a prognosis-only trigger to a needs-based model to identify advanced COPD and ILD patients earlier, and integrate palliative care alongside — not instead of — disease-directed therapies. Involve multidisciplinary teams across all care settings, including support for caregivers."}},{"doi":"10.1071/py25207","pmid":"41359807","title":"A multidisciplinary case conference model to conservatively manage hip and knee osteoarthritis: a pre-pilot feasibility and proof-of-concept study","journal_title":"Australian Journal of Primary Health","journal_issn":"1448-7527","published_at":"2025-12-08T00:00:00.000Z","url":"https://doi.org/10.1071/py25207","source_score":2,"is_retracted":false,"is_open_access":false,"raw_metadata":{"ooir":{"day":"2026-01-15","doi":"10.1071/py25207","days":"7","issn":"1448-7527","rank":"1","field":"Clinical Medicine","score":"2","category":"Primary Health Care","categories":["Primary Health Care"],"_categories":["Primary Health Care"]},"pubmed":{"doi":"10.1071/PY25207","title":"A multidisciplinary case conference model to conservatively manage hip and knee osteoarthritis: a pre-pilot feasibility and proof-of-concept study.","journal":"Australian journal of primary health","methods":"","results":"Thematic content analysis led to the generation of four major themes from the data: (i) potential benefits; (ii) foreseeable challenges; (iii) the benefit-engagement cycle and (iv) maintenance of lifestyle changes.","abstract":"$30","keywords":["acceptability of healthcare","dietitians","exercise physiologists","exercise therapy","family practice","general practice","healthcare delivery","healthcare systems","primary healthcare","qualitative research"],"pubmed_id":"41359807","conclusions":"The proposed multidisciplinary model of care to conservatively manage hip and knee OA was perceived by both patients and clinicians to have many benefits and a limited number of manageable challenges. The identified challenges provide guidance on how the model should be refined before it is implemented in clinical practice.","publication_date":"2025-12-08T00:00:00"},"crossref":{"DOI":"10.1071/py25207","URL":"https://doi.org/10.1071/py25207","ISSN":["1448-7527","1836-7399"],"link":[{"URL":"https://connectsci.au/py/article-pdf/doi/10.1071/PY25207/1836148/py25207.pdf","content-type":"application/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https://connectsci.au/py/article-pdf/doi/10.1071/PY25207/1836148/py25207.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"page":null,"type":"journal-article","issue":"6","score":1,"title":["A multidisciplinary case conference model to conservatively manage hip and knee osteoarthritis: a pre-pilot feasibility and proof-of-concept study"],"author":[{"given":"Timothy D.","family":"Miller","sequence":"first","affiliation":[{"name":"ASchool of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, NSW, Australia. Email: dmcghee@uow.edu.au"},{"name":"BSchool of Allied Health, Exercise and Sports Sciences, Charles Sturt University, Bathurst, NSW, Australia. Email: timiller@csu.edu.au"}]},{"given":"Andrew D.","family":"Bonney","sequence":"additional","affiliation":[{"name":"CGraduate School of Medicine, University of Wollongong, Wollongong, NSW, Australia. Email: abonney@uow.edu.au, jmullan@uow.edu.au, metusela@uow.edu.au"}]},{"given":"Judy R.","family":"Mullan","sequence":"additional","affiliation":[{"name":"CGraduate School of Medicine, University of Wollongong, Wollongong, NSW, Australia. Email: abonney@uow.edu.au, jmullan@uow.edu.au, metusela@uow.edu.au"}]},{"given":"Christine","family":"Metusela","sequence":"additional","affiliation":[{"name":"CGraduate School of Medicine, University of Wollongong, Wollongong, NSW, Australia. Email: abonney@uow.edu.au, jmullan@uow.edu.au, metusela@uow.edu.au"}]},{"given":"Deirdre E.","family":"McGhee","sequence":"additional","affiliation":[{"name":"ASchool of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, NSW, Australia. Email: dmcghee@uow.edu.au"}]}],"issued":{"date-parts":[[2025,12,22]]},"member":"67","prefix":"10.1071","source":"Crossref","volume":"31","created":{"date-time":"2025-12-08T19:27:10Z","timestamp":1765222030000,"date-parts":[[2025,12,8]]},"indexed":{"date-time":"2025-12-21T21:32:09Z","timestamp":1766352729983,"date-parts":[[2025,12,21]]},"license":[{"URL":"https://creativecommons.org/licenses/by-nc-nd/4.0/","start":{"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000,"date-parts":[[2025,12,8]]},"delay-in-days":0,"content-version":"vor"}],"subject":[],"abstract":"$31","language":"en","relation":{},"resource":{"primary":{"URL":"https://connectsci.au/py/article/31/6/PY25207/267566/A-multidisciplinary-case-conference-model-to"}},"subtitle":[],"deposited":{"date-time":"2025-12-21T21:31:17Z","timestamp":1766352677000,"date-parts":[[2025,12,21]]},"issn-type":[{"type":"print","value":"1448-7527"},{"type":"electronic","value":"1836-7399"}],"published":{"date-parts":[[2025,12,22]]},"publisher":"CSIRO Publishing","reference":[{"DOI":null,"key":"2025122116311410500_R1","year":null,"issue":null,"author":null,"volume":null,"first-page":null,"unstructured":"Australian Bureau of Statistics (2018) National Health Survey: First Results, 2017-18. 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Papers