Ep 243: Health economics explainer for the clinician (part 2), with Dr Codie Primeau
Welcome back to this explainer on health economics analyses in musculoskeletal rehabilitation.
In part 1, Dr Codie Primeau explained the things you're looking for when reading a health economics analysis, to decide whether it's a good quality analysis. That's important because a good quality analysis can help you make decisions about whether the intervention being studied is worth considering.
Today in part 2, we take things a step further to explore how you decide what "worthwhile" really means. Worth it for whom? The patient, your clinic, the health system, or even society?
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RESOURCES
From whose perspective is cost-effectiveness judged?: https://pmc.ncbi.nlm.nih.gov/articles/PMC6351264/
Review of health economics evaluations in hip and knee orthopaedics: https://pubmed.ncbi.nlm.nih.gov/34262974/
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Ep 242: Health economics explainer for the clinician (part 1), with Dr Codie Primeau
Whether you work in a solo private practice, or a large health network, no doubt you're considering costs when it comes to deciding what to change and perhaps what to implement - or de-implement - in your practice. Perhaps you're in the position of making decisions on behalf of a health service or you are trying to quantify and communicate the costs and benefits of treatments you study in a research setting?
Today is part 1 of a 2-part chat with Dr Codie Primeau about health economics in musculoskeletal rehabilitation, which has something for everyone working in health care. We're covering how to read a health economics analysis to decide whether the analysis can help you navigate the complex decisions you're grappling with.
Dr Primeau is a physiotherapist and Assistant Professor in the School of Physical Therapy at Western University in London, Canada, and an Affiliate Scientist with Arthritis Research Canada. His research focuses on arthritis, chronic pain, and pelvic health, using a blend of qualitative and quantitative methods to improve patient care and outcomes, including health economics evaluation.
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RESOURCES
From whose perspective is cost-effectiveness judged?: https://pmc.ncbi.nlm.nih.gov/articles/PMC6351264/
Review of health economics evaluations in hip and knee orthopaedics: https://pubmed.ncbi.nlm.nih.gov/34262974/
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Ep 241: Chatbots for orthopaedic PT - ready for prime time? With Drs Mark Vorensky & Daniel Peredo
Wondering about whether large language models (generative AI) like ChatGPT, Co-Pilot or Claude, to name just a few, could add value to your clinical practice?
Drs Mark Vorensky and Daniel Peredo (Rutgers University; NYU Langone Health) discuss the field of 'prompt engineering' - the approach to structuring and crafting the instructions (a.k.a. prompt) given to a generative AI model, to describe the task that the AI should perform.
The quality of the output from generative AI is highly dependent on how the model is prompted. So, if you're looking to get the best out of generative AI, tune in!
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RESOURCES
Improving ChatGPT's performance using the CRISPE framework: https://www.jospt.org/doi/10.2519/josptmethods.2025.0151
Neck pain clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2017.0302
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Ep 240: Swapping the gym for the field - return-to-run after injury, with Andrew Mitchell
How do you think about supporting athletes to return to running after injury?
Andrew Mitchell is someone who has thought about it a lot, and refined his approach over years of practice in top football/soccer. In today's episode, Andrew outlines the 5 elements of his criteria-based approach.
Andrew is a sports physiotherapist and strength & conditioning practitioner with experience working in the hospital, private practice and professional sport arenas, including in the English Premier League, the German Bundesliga and the European Champions League.
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RESOURCES
Evidence-informed return-to-running framework: https://www.jospt.org/doi/10.2519/josptopen.2025.0115
Criteria-based return-to-performance pathway: https://www.jospt.org/doi/10.2519/josptopen.2024.1240
On the path to perfoming after injury (ep 193): https://pod.link/1522929437/episode/NmEzODliMjAtYmIyZi00YzkwLWIwMzctNjU3NzI4NTY3ZWUz
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Ep 239: Patellofemoral pain research round-up, with Drs Erin Macri & Harvi Hart
What's the latest thinking in managing patellofemoral pain?
Drs Erin Macri (Erasmus MC University Medical Centre, The Netherlands) and Harvi Hart (Michigan State University) join JOSPT Insights ahead of the International Patellofemoral Research Network meeting to share the latest in patellofemoral research, and what it means for clinical practice.
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RESOURCES
JOSPT Insights Ep 229: Best practice in managing patellofemoral pain, with Dr Brad Neal: https://pod.link/1522929437/episode/ZDBkY2Q0ZDYtMzNhZS00OWVjLWJlYTQtNTYwMzBkZTVhM2Iw
Patellofemoral pain CPG: https://www.jospt.org/doi/10.2519/jospt.2019.0302
Clinical priorities for psychological factors in patellofemoral pain: https://www.jospt.org/doi/10.2519/jospt.2022.10647
Prognosis for patellofemoral pain: https://www.jospt.org/doi/10.2519/jospt.2025.13491
Find out more about the International Patellofemoral Research Network's work: https://ipfrn.org/
The Journal of Orthopaedic & Sports Physical Therapy brings you the JOSPT Insights podcast every Monday. On each episode, experienced clinicians and researchers unpack musculoskeletal rehabilitation topics in under 30 minutes. Guests share clinical tips and research discoveries with host Dr Clare Ardern, Editor-in-Chief of JOSPT. Sports physical therapists Dr Chelsea Cooman and Dr Dan Chapman are frequent co-hosts.