{"id":"https://openalex.org/W7225124101","doi":"https://doi.org/10.1136/bmjoq-2026-004371","title":"Optimising musculoskeletal patient flow through digital triage and supported self-management within a Primary Care Network","display_name":"Optimising musculoskeletal patient flow through digital triage and supported self-management within a Primary Care Network","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7225124101","doi":"https://doi.org/10.1136/bmjoq-2026-004371","pmid":"https://pubmed.ncbi.nlm.nih.gov/42971598","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13735353"},"language":"en","primary_location":{"id":"doi:10.1136/bmjoq-2026-004371","doi":"https://doi.org/10.1136/bmjoq-2026-004371","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjoq-2026-004371","pdf_url":"https://bmjopenquality.bmj.com/content/15/4/e004371.full.pdf","source":{"id":"https://openalex.org/S4210206356","display_name":"BMJ Open Quality","issn_l":"2399-6641","issn":["2399-6641"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open Quality","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmjopenquality.bmj.com/content/15/4/e004371.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160354925","display_name":"Kevin Tucker","orcid":"https://orcid.org/0009-0000-3885-8094","observed_orcids":["https://orcid.org/0009-0000-3885-8094"]},"institutions":[{"id":"https://openalex.org/I2799630439","display_name":"Sandwell & West Birmingham Hospitals NHS Trust","ror":"https://ror.org/05mzf3276","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799630439"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Kevin Tucker","raw_affiliation_strings":["MusculoSkeletal Outpatients, Sandwell and West Birmingham Hospitals NHS Trust, West Bromwich, UK"],"raw_orcid":"https://orcid.org/0009-0000-3885-8094","affiliations":[{"raw_affiliation_string":"MusculoSkeletal Outpatients, Sandwell and West Birmingham Hospitals NHS Trust, West Bromwich, UK","institution_ids":["https://openalex.org/I2799630439"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160324570","display_name":"Kimberley Wheatley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799630439","display_name":"Sandwell & West Birmingham Hospitals NHS Trust","ror":"https://ror.org/05mzf3276","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799630439"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kimberley Wheatley","raw_affiliation_strings":["Your Health Partnership Primary Care Network, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Your Health Partnership Primary Care Network, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK","institution_ids":["https://openalex.org/I2799630439"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5000683317","display_name":"Roanna Burgess","orcid":"https://orcid.org/0000-0001-5862-5845","observed_orcids":["https://orcid.org/0000-0001-5862-5845"]},"institutions":[{"id":"https://openalex.org/I2799630439","display_name":"Sandwell & West Birmingham Hospitals NHS Trust","ror":"https://ror.org/05mzf3276","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799630439"]},{"id":"https://openalex.org/I56007636","display_name":"Keele University","ror":"https://ror.org/00340yn33","country_code":"GB","type":"education","lineage":["https://openalex.org/I56007636"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Roanna Burgess","raw_affiliation_strings":["Keele University, Newcastle-under-Lyme, UK","MusculoSkeletal Outpatients, Sandwell and West Birmingham Hospitals NHS Trust, West Bromwich, UK"],"raw_orcid":"https://orcid.org/0000-0001-5862-5845","affiliations":[{"raw_affiliation_string":"Keele University, Newcastle-under-Lyme, UK","institution_ids":["https://openalex.org/I56007636"]},{"raw_affiliation_string":"MusculoSkeletal Outpatients, Sandwell and West Birmingham Hospitals NHS Trust, West Bromwich, UK","institution_ids":["https://openalex.org/I2799630439"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5160354925"],"corresponding_institution_ids":["https://openalex.org/I2799630439"],"apc_list":{"value":1500,"currency":"GBP","value_usd":1839},"apc_paid":{"value":1500,"currency":"GBP","value_usd":1839},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.86845361,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"15","issue":"4","first_page":"e004371","last_page":"e004371"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.5609999895095825,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.5609999895095825,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.1860000044107437,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.07280000299215317,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/musculoskeletal-disorders","display_name":"musculoskeletal disorders","score":0.9869999885559082},{"id":"https://openalex.org/keywords/digital-triage","display_name":"digital triage","score":0.9980000257492065},{"id":"https://openalex.org/keywords/supported-self-management","display_name":"self-management support","score":0.8230000138282776},{"id":"https://openalex.org/keywords/mobile-health-apps","display_name":"mobile health apps","score":0.7630000114440918},{"id":"https://openalex.org/keywords/primary-care-networks","display_name":"primary care networks","score":0.7900000214576721},{"id":"https://openalex.org/keywords/patient-flow","display_name":"patient flow","score":0.9200000166893005},{"id":"https://openalex.org/keywords/primary-care-access","display_name":"primary care access","score":0.7440000176429749},{"id":"https://openalex.org/keywords/waiting-time","display_name":"waiting time","score":0.7160000205039978},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.8420000076293945},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.871999979019165},{"id":"https://openalex.org/keywords/friends-and-family-test","display_name":"Friends and Family Test","score":0.8410000205039978},{"id":"https://openalex.org/keywords/deprived-populations","display_name":"deprived populations","score":0.4000000059604645}],"concepts":[{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.7594000101089478},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.7049000263214111},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6269000172615051},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.5956000089645386},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.5748000144958496},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5450999736785889},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.5220999717712402},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.5142999887466431},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.4959999918937683},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.44530001282691956},{"id":"https://openalex.org/C51915194","wikidata":"https://www.wikidata.org/wiki/Q17075487","display_name":"Point of care","level":2,"score":0.42179998755455017},{"id":"https://openalex.org/C202645933","wikidata":"https://www.wikidata.org/wiki/Q4930","display_name":"eHealth","level":3,"score":0.41659998893737793},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4049000144004822},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4016000032424927},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.38839998841285706},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.352400004863739},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.3522000014781952},{"id":"https://openalex.org/C2985179714","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Work flow","level":2,"score":0.35120001435279846},{"id":"https://openalex.org/C116537","wikidata":"https://www.wikidata.org/wiki/Q2169973","display_name":"Service provider","level":3,"score":0.34619998931884766},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.320499986410141},{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.3190000057220459},{"id":"https://openalex.org/C28719098","wikidata":"https://www.wikidata.org/wiki/Q44946","display_name":"Point (geometry)","level":2,"score":0.30169999599456787},{"id":"https://openalex.org/C2781050511","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telehealth","level":4,"score":0.295199990272522},{"id":"https://openalex.org/C2777896191","wikidata":"https://www.wikidata.org/wiki/Q22907655","display_name":"Patient experience","level":3,"score":0.2791000008583069},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2689000070095062},{"id":"https://openalex.org/C2778216598","wikidata":"https://www.wikidata.org/wiki/Q1131802","display_name":"Safety net","level":2,"score":0.2522999942302704}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1136/bmjoq-2026-004371","doi":"https://doi.org/10.1136/bmjoq-2026-004371","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjoq-2026-004371","pdf_url":"https://bmjopenquality.bmj.com/content/15/4/e004371.full.pdf","source":{"id":"https://openalex.org/S4210206356","display_name":"BMJ Open Quality","issn_l":"2399-6641","issn":["2399-6641"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open Quality","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13735353","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13735353/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13735353/pdf/bmjoq-15-4.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open Qual","raw_type":"Text"},{"id":"pmid:42971598","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42971598","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ open quality","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:bd64a599ba2a4daa9f5e45baf0558acf","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/bd64a599ba2a4daa9f5e45baf0558acf","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMJ Open Quality, Vol 15, Iss 4 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1136/bmjoq-2026-004371","doi":"https://doi.org/10.1136/bmjoq-2026-004371","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjoq-2026-004371","pdf_url":"https://bmjopenquality.bmj.com/content/15/4/e004371.full.pdf","source":{"id":"https://openalex.org/S4210206356","display_name":"BMJ Open Quality","issn_l":"2399-6641","issn":["2399-6641"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open Quality","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225124101.pdf","grobid_xml":"https://content.openalex.org/works/W7225124101.grobid-xml"},"referenced_works_count":9,"referenced_works":["https://openalex.org/W1996543803","https://openalex.org/W4387573017","https://openalex.org/W4393039900","https://openalex.org/W4403512393","https://openalex.org/W4404963932","https://openalex.org/W4408387588","https://openalex.org/W4408719973","https://openalex.org/W4415648521","https://openalex.org/W4417145746"],"related_works":["https://openalex.org/W4404963932","https://openalex.org/W4408719973","https://openalex.org/W4399762579","https://openalex.org/W7084747034","https://openalex.org/W4399761967","https://openalex.org/W7170463039","https://openalex.org/W4408948801","https://openalex.org/W1579716285","https://openalex.org/W2962696963","https://openalex.org/W4213175238"],"abstract_inverted_index":{"Musculoskeletal":[0],"(MSK)":[1],"conditions":[2],"are":[3],"a":[4,24,81,177],"leading":[5],"cause":[6],"of":[7,56,105,115,133,203],"disability":[8],"and":[9,34,48,68,121,138,151,169,174,179,200],"work":[10],"absence":[11],"in":[12,80,159],"the":[13,43,54,103,107,127,134,149,160,198],"UK.":[14],"Access":[15],"to":[16,61,76,91,196],"National":[17],"Health":[18],"Service":[19],"(NHS)":[20],"primary":[21,181],"care":[22,182],"remains":[23],"persistent":[25],"challenge,":[26],"driven":[27],"by":[28,87,98],"increasing":[29],"patient":[30,70,78,96,139],"demand,":[31],"workforce":[32],"constraints":[33],"inefficiencies":[35],"embedded":[36],"within":[37,176],"traditional":[38],"service":[39,63],"pathways.":[40],"In":[41],"response,":[42],"growing":[44],"need":[45],"for":[46,188],"timely":[47],"effective":[49],"MSK":[50,190],"management":[51],"has":[52],"accelerated":[53],"adoption":[55],"innovative":[57],"digital":[58,92,100,113,167,205],"solutions":[59],"designed":[60],"transform":[62],"delivery,":[64],"reduce":[65],"waiting":[66],"times":[67],"improve":[69],"outcomes.The":[71],"overall":[72],"project":[73],"aim":[74],"was":[75,130,141],"enhance":[77],"safety":[79,155],"large":[82],"Primary":[83],"Care":[84],"Network":[85],"(PCN)":[86],"providing":[88,184],"24/7":[89],"access":[90],"triage":[93,168],"alongside":[94],"expanding":[95],"choice":[97],"offering":[99],"self-management":[101,125,171],"at":[102],"point":[104],"access.During":[106],"12-month":[108],"evaluation,":[109],"822":[110],"patients":[111],"completed":[112],"triage,":[114],"whom":[116],"282":[117],"were":[118,157,172],"offered,":[119],"accepted":[120],"accessed":[122],"digitally":[123],"supported":[124,170],"using":[126,148],"app.":[128],"Uptake":[129],"broadly":[131],"representative":[132],"wider":[135],"PCN":[136],"population":[137],"satisfaction":[140],"rated":[142],"as":[143],"good":[144,147],"or":[145],"very":[146],"Friends":[150],"Family":[152],"Test.":[153],"No":[154],"concerns":[156],"identified":[158],"available":[161],"audit":[162],"data.These":[163],"findings":[164],"suggest":[165],"that":[166],"feasible":[173],"acceptable":[175],"diverse":[178],"deprived":[180],"population,":[183],"an":[185],"additional":[186],"option":[187],"accessing":[189],"care.":[191],"Further":[192],"research":[193],"is":[194],"required":[195],"establish":[197],"clinical":[199],"economic":[201],"impact":[202],"these":[204],"approaches.":[206]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-03T00:00:00"}