Value-Based Care and Musculoskeletal Rehabilitation

  • Thiru M. Annaswamy
  • Donald Kasitinon
  • Alexa Royston
Musculoskeletal Rehabilitation (J Friedly, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Musculoskeletal Rehabilitation


Purpose of Review

The purpose of this study is to summarize published literature on health-care quality, and value-based principles in musculoskeletal (MSK) medicine as it relates to physical medicine & rehabilitation (PM&R) practitioners. This review specifically focuses on spine care as a case example. Related policy and practice issues and future research needs will also be discussed.

Recent Findings

Results of a recent study on the effects of required PM&R consultation prior to surgical evaluation for low back pain management contradicted the conclusions of a previous landmark study on a similar topic.


Physiatrists involved in musculoskeletal care need to be aware of the shift in focus from volume of care to value-based care. Clinical registries and practice guidelines are increasingly available, practical to use, and should be utilized to improve quality of care provided to patients with MSK disorders. Continuous improvements in quality of care provided and cost savings will drive upward the value of MSK care delivered. Future research in MSK care outcomes needs to evaluate not only effectiveness and efficacy but also cost and value.


Rehabilitation Value-based care Musculoskeletal Spine Health care Outcomes 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no competing interests.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


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Copyright information

© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2018

Authors and Affiliations

  • Thiru M. Annaswamy
    • 1
  • Donald Kasitinon
    • 2
  • Alexa Royston
    • 2
  1. 1.PM&R ServiceVA North Texas Health Care System and University of Texas Southwestern Medical CenterDallasUSA
  2. 2.Department of Physical Medicine and RehabilitationUniversity of Texas Southwestern Medical CenterDallasUSA

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