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Paediatric musculoskeletal (MSK) triage in the community - RightPath - a pilot study

2020; Elsevier BV; Volume: 107; Linguagem: Inglês

10.1016/j.physio.2020.03.049

1873-1465

Victoria Mercer, Nicola Smith, Julie Firth, Sharmila Jandial, Katharine Kinsey, Harold L. Light, Judith McNaught, Alan Nye, Tim Rapley, Neil Snowden, B. Stidolph, Helen Foster,

Adolescent and Pediatric Healthcare

Purpose: We have developed children and young people (CYP) community-based triage (called RightPath) based on a validated adult MSK model developed by Pennine MSK Partnership Ltd (PMSKP). RightPath aims to use paediatric physiotherapists to identify CYP with MSK pathology and triage them to the appropriate service (rheumatology, orthopaedics, or urgent care), managing those who do not need specialist referral appropriately within the community (by physiotherapists and podiatrists). Triage and referral guidance was developed in partnership with MSK specialists and primary care. The pilot tested safety, feasibility, acceptability, and transferability of triage in the community in two UK localities with emphasis on the educational requirements of the triage guidance for healthcare professionals who may not be expert in CYP MSK disease.