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[{"key": "dc.contributor.advisor", "value": "Vuoskoski, Pirjo", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Aartolahti, Eeva", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Chichaeva, Julija", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2023-08-17T05:51:57Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2023-08-17T05:51:57Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2023", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/88552", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tuki- ja liikuntaelinsairauksia esiintyy kaikissa v\u00e4est\u00f6ryhmiss\u00e4 ja ne rajoittavat merkitt\u00e4v\u00e4sti\nihmisen toimintakyky\u00e4 v\u00e4hent\u00e4en hyvinvointia ja osallistumista sek\u00e4 n\u00e4ytt\u00e4ytyen esimerkiksi\nennenaikaisena el\u00e4k\u00f6itymisen\u00e4. V\u00e4est\u00f6n ik\u00e4rakenteen muutos ja tarttumattomien sairauksien\nlis\u00e4\u00e4ntynyt ilmaantuvuus tulee tulevaisuudessa lis\u00e4\u00e4m\u00e4\u00e4n tuki- ja liikuntaelinten sairauksien\nsairaustaakkaa entisest\u00e4\u00e4n. Lis\u00e4\u00e4ntynyt kuntoutuspalvelujen tarve lis\u00e4\u00e4 osaltaan taas\nterveydenhuollon henkil\u00f6st\u00f6n ja taloudellisten resurssien tarvetta. Aiemman tutkimuksen\nvalossa et\u00e4kuntoutus parantaa kuntoutuksen saatavuutta ja saavutettavuutta sek\u00e4 saattaa tarjota\nratkaisun terveydenhuollon kasvaviin kustannuksiin ja ty\u00f6voiman tarpeisiin. T\u00e4m\u00e4n\nsystemaattisen katsauksen tavoitteena on verrata et\u00e4kuntoutuksen (intervention) resurssien\nk\u00e4ytt\u00f6\u00e4, kustannuksia ja kustannusvaikuttavuutta (outcomes) tavanomaiseen hoitoon\n(comparator) kroonista tuki- ja liikuntaelinsairautta sairastavilla (participants). T\u00e4m\u00e4\nartikkelimuotoinen pro gradu -tutkielma alkaa teoreettisen taustan osuudella ja jatkuu\nsystemaattisen kirjallisuuskatsauksen artikkelin k\u00e4sikirjoituksena.\nT\u00e4m\u00e4n systemaattisen kirjallisuuskatsauksen tietokantahaku toteutettiin MEDLINE (Ovid),\nCINAHL, Eric, PsycINFO (Ebsco), PEDro ja NHS Economic Evaluation Database (NHS EED\n-tietokannoista 17.12.2022. Mukaan otettujen tutkimusten laatu arvioitiin JBI Taloudellisten\narvioiden kriittisen arvioinnin tarkistuslistaa hy\u00f6dynt\u00e4en. Aineistoanalyysi toteutettiin\nnarratiivisesti sek\u00e4 JBI:n The Dominance Ranking Matrix (DRM) -ty\u00f6kalun avulla.\nTutkimukset olivat heterogeenisi\u00e4 osallistujien, interventioiden, tulosmuuttujien sek\u00e4\nmenetelmien suhteen, mink\u00e4 vuoksi meta-analyysi\u00e4 ei voitu toteuttaa.\nMukaan otettiin kolme, vuosina 2013\u20132020 toteutettua, satunnaistettua kontrolloitua\ntutkimusta, joissa osallistujien diagnooseina oli yl\u00e4- ja alaraajojen sek\u00e4 sel\u00e4n ongelmat ja\nlonkan/ polven nivelrikko. Et\u00e4kuntoutusinterventio saattoi olla sekamuotoinen tai kokonaan\net\u00e4n\u00e4 tapahtuva ja sen sis\u00e4lt\u00f6 vaihteli pelk\u00e4st\u00e4 puhelinkontaktista erilaisten mobiili- ja websovellusten\nk\u00e4ytt\u00f6\u00f6n. Kliinist\u00e4 vaikuttavuutta kuvasivat terveyteen, toimintakykyyn sek\u00e4\nel\u00e4m\u00e4nlaatuun liittyv\u00e4t tulosmuuttujat. Taloudelliset tulosmuuttujat sis\u00e4lsiv\u00e4t sek\u00e4 suoria ett\u00e4\nep\u00e4suoria kustannuksia. Lis\u00e4ksi inkrementaalinen kustannusvaikuttavuussuhde (ICER)\nlaskettiin kaikissa tutkimuksissa. Kustannuksia tarkasteltiin kuntoutujien, ammattilaisten,\nterveydenhuollon sek\u00e4 yhteiskunnan n\u00e4k\u00f6kulmista. Et\u00e4kuntoutus todettiin saman hintaiseksi ja\nyht\u00e4 vaikuttavaksi tavanomaiseen hoitoon verrattuna kahdessa tutkimuksessa ja\nedullisemmaksi sek\u00e4 vaikuttavammaksi yhdess\u00e4 tutkimuksessa.\nEt\u00e4kuntoutus on potentiaalinen vaihtoehto tavanomaisen kuntoutuksen rinnalle tai lis\u00e4ksi, sill\u00e4\nse ilmeisesti on v\u00e4hint\u00e4\u00e4n yht\u00e4 tehokasta ja saman hintaista kroonista tuki- ja\nliikuntaelinsairautta sairastavilla. Tutkimusten tuloksissa oli ristiriitaa ja niiden pieni m\u00e4\u00e4r\u00e4\nsek\u00e4 heterogeenisyys heikensi tulkittavuutta. Lis\u00e4\u00e4 metodologisesti laadukkaita ja\ntarkoituksenmukaisia taloudellisia arviointeja tarvitaan et\u00e4kuntoutuksen\nkustannusvaikuttavuuden arvioimiseksi.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Musculoskeletal disorders (MSDs) occur in all population groups, and significantly limits an\nindividual\u2019s ability to function, decreasing well-being and participation. Change in the age\nstructure of the population and the incidence of non-communicable diseases increase the disease\nburden of MSDs, which will demand more and more healthcare personnel and economic\nresources in the future. Previous research confirms that telerehabilitation improves the\navailability and accessibility of rehabilitation and may offer a solution to the growing costs of\nhealthcare and workforce needs. The aim of this systematic review is to compare resource use,\ncosts for all reasons and cost-effectiveness (outcomes) of a telerehabilitation (intervention) with\nusual care (comparator) for individuals with chronic musculoskeletal disorders (participants).\nThis master's thesis begins with a broader background section after which continues as a\nresearch article manuscript of systematic review.\nThe database search for this systematic literature review was carried out from 6 databases\n(MEDLINE (Ovid), CINAHL, Eric, PsycINFO (Ebsco), PEDro, the NHS Economic Evaluation\nDatabase) on December 17th, 2022. Screening and quality assessment of the studies were\naccomplished by two researchers independently. The quality of the included studies was\nassessed by using JBI Critical Appraisal of Economic Evaluations Checklist. Data analysis was\nperformed narratively and using the JBI Dominance Ranking Matrix (DRM). Studies were\nheterogeneous in terms of participants, interventions, outcome variables, and methods,\ntherefore meta-analysis could not be performed.\nThree randomized controlled trials, conducted between 2013\u20132020 were included in this\nreview. The participants were diagnosed with upper/ lower limb or back problems or hip/knee\nosteoarthritis. The telerehabilitation intervention comprised blended or purely remote\nphysiotherapy, and its content varied from simple telephone contact to the use of various mobile\nand web applications. Clinical effectiveness included health, functioning and health-related\nquality of life outcomes and the economic outcomes costs (direct and indirect), resource use\nand the incremental cost-effectiveness ratio (ICER). The costs were examined from the health\ncare, patients, careers, and societal perspective. Remote rehabilitation was found to be the same\nprice and equally effective compared to usual care in two studies and cheaper and more effective\nin one study.\nAccording to this review, telerehabilitation appears to be at least as effective as usual care while\nmaintaining a similar cost. However, due to the limited number of studies, inconsistencies in\ntheir findings, and their heterogeneity, it is difficult to draw strong conclusions about superiority\nof telerehabilitation in terms of cost-effectiveness for musculoskeletal disorders. More\nmethodologically high-quality and appropriate economic evaluations are needed.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2023-08-17T05:51:57Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2023-08-17T05:51:57Z (GMT). No. of bitstreams: 0\n Previous issue date: 2023", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "64", "language": "", "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.language.iso", "value": "eng", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": null, "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "telerehabilitation", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Cost-effectiveness of telerehabilitation compared with usual care in chronic musculoskeletal disorders : systematic review", "language": "", "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-202308174661", "language": "", "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.copyright", "value": "\u00a9 The Author(s)", "language": null, "element": "rights", "qualifier": "copyright", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "restrictedAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50422", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kustannustehokkuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "systemaattiset kirjallisuuskatsaukset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "tuki- ja liikuntaelinten taudit", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kustannukset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "telel\u00e4\u00e4ketiede", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "cost effectiveness", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "systematic reviews", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "rehabilitation", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "musculoskeletal diseases", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "costs", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "telemedicine", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "The author has not given permission to make the work publicly available electronically. Therefore the material can be read only at the archival workstation at Jyv\u00e4skyl\u00e4 University Library (https://kirjasto.jyu.fi/collections/archival-workstation).", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "Tekij\u00e4 ei ole antanut lupaa avoimeen julkaisuun, joten aineisto on luettavissa vain Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6semalta. Ks. https://kirjasto.jyu.fi/kokoelmat/arkistotyoasema..", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}]
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