CLBP Management Using Evidence-Based Practice: A Case Study

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The global aim of the current proposal is to optimize primary healthcare professional practices in CLBP management by using evidence-based practice. To achieve this goal, the current proposal is designed to cover the Chronic Care Model (CCM) elements. CCM was developed and used to comprehensively improve and increase the quality of chronic disease care by identifying the essential components of a health care system [122, 123]. CCM provokes productive interactions between patients and health care providers, which are needed to improve health outcomes among individuals with chronic diseases [122]. The productive interactions are clinical and behavioural interventions that reflect evidence-based guidelines and include the self-management skills [122]. CCM includes six elements: 1) health system; 2) delivery system design; 3) decision support; 4) clinical information systems; 5) self-management support; and 6) community resources and policies. The Model can be applied to a variety of chronic diseases, health care settings, and target populations.
1- Health System
The health system needs to promote safe and high quality care, and it needs to actively support changes at all levels of the organization [124]. Improving the quality of chronic disease care
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Improving the health of individuals with chronic diseases needs to transform the health system from treatment to prevention to keep people as healthy as possible [125]. To improve the healthcare services, the roles and tasks of each health profession need to be identified, care services based on evidence-based practice guidelines need to be implemented, and follow-ups with the patients need to be conducted [126-128]. Also, the care service should be offered based on the patient’s status; “more complex patients may need more intensive management for a period of time to optimize clinic care and self-management”

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