{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T11:19:03Z","timestamp":1782127143261,"version":"3.54.5"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>A \u201cvirtual fracture clinic\u201d (VFC) is viewed as a safe, cost effective method of managing suitable low risk orthopedic injuries without direct orthopedic review. This method is used throughout the Glasgow Royal Infirmary (GRI) and National Health System (NHS) as a cornerstone for efficient patient care. This study assessed the outcomes of a newly implemented Queensland based Primary Care Pathway (PCP) for management of simple orthopedic injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective cohort was formed of patients presenting over a 4-week period with an acute orthopedic injury to either the Emergency Department (ED) or Primary Care Providers within the Logan Hospital catchment in Queensland, Australia. Patients were triaged to either a PCP management protocol with General Practitioners (GP), Allied-Health Professionals (AHP) or to a traditional in-person Fracture Clinic (FC) orthopedic review. Patients were followed for 6-months. Data were collected about epidemiology, complications, appropriate allocation, and injury type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 1283 patients were referred over the study period, of which 267 were triaged to PCP management. ED referrals accounted for 62.5% of appropriate referrals to either clinic. Upper limb injuries were the most common conditions managed through the PCP. Patients managed by the PCP model of care experienced a 4.29% complication rate over the 6-month follow-up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The PCP model of care is effective in managing criteria specific, low risk orthopedic injuries with a low rate of complications (4.29%) without direct orthopedic FC review. Use of a PCP reduces demand on hospital resources, and provides a safe, cost-effective alternative to a resource-restricted outpatient service.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2150132720967228","type":"journal-article","created":{"date-parts":[[2020,10,27]],"date-time":"2020-10-27T23:55:44Z","timestamp":1603842944000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Validation of the Primary Care Pathway Model for Management of Orthopedic Injuries: Results of a Prospective, Queensland Study"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0911-8414","authenticated-orcid":false,"given":"Christian","family":"Fuschini","sequence":"first","affiliation":[{"name":"Redcliffe Hospital, Redcliffe, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6016-2664","authenticated-orcid":false,"given":"Timothy","family":"Bussoletti","sequence":"additional","affiliation":[{"name":"Redcliffe Hospital, Redcliffe, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Shaw","sequence":"additional","affiliation":[{"name":"Mater Hospital, Brisbane, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Shazhad","sequence":"additional","affiliation":[{"name":"Logan Hospital, Meadowbrook, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Qi","sequence":"additional","affiliation":[{"name":"Logan Hospital, Meadowbrook, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aidan","family":"Cleary","sequence":"additional","affiliation":[{"name":"Redcliffe Hospital, Redcliffe, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,10,26]]},"reference":[{"key":"bibr1-2150132720967228","unstructured":"Australian Institute of Health and Welfare. Emergency Department Care 2017-18: Australian Hospital Statistics. 2018. https:\/\/www.aihw.gov.au\/reports\/hospitals\/emergency-department-care-2017-18\/contents\/table-of-contents. Accessed June10, 2019."},{"key":"bibr2-2150132720967228","doi-asserted-by":"publisher","DOI":"10.1186\/s13032-014-0021-y"},{"key":"bibr3-2150132720967228","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-005282"},{"key":"bibr4-2150132720967228","doi-asserted-by":"publisher","DOI":"10.15761\/RRI.1000143"},{"key":"bibr5-2150132720967228","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.05.041"},{"key":"bibr6-2150132720967228","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.11.006"},{"key":"bibr7-2150132720967228","unstructured":"Rymaszewski L, Jenkins P, Nugent M, et al. Fracture clinics for the future: fracture pathway redesign at Glasgow Royal Infirmary. 2015. http:\/\/www.fractureclinicredesign.org\/. Accessed June 10, 2016."},{"key":"bibr8-2150132720967228","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.52.2000506"},{"key":"bibr9-2150132720967228","volume-title":"13th National Allied Health Conference (NAHC)","author":"Tang C","year":"2019"},{"key":"bibr10-2150132720967228","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.12811"},{"key":"bibr11-2150132720967228","unstructured":"GraphPad Software Inc. Graph pad. 2018. https:\/\/www.graphpad.com\/. Accessed August 9, 2019."},{"key":"bibr12-2150132720967228","first-page":"1","author":"Ling SN","year":"2018","journal-title":"Radiol Res Pract"},{"key":"bibr13-2150132720967228","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-015-9749-8"},{"key":"bibr14-2150132720967228","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2010.548026"},{"key":"bibr15-2150132720967228","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181de24bc"}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150132720967228","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2150132720967228","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150132720967228","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:25:06Z","timestamp":1777508706000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2150132720967228"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":15,"alternative-id":["10.1177\/2150132720967228"],"URL":"https:\/\/doi.org\/10.1177\/2150132720967228","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"article-number":"2150132720967228"}}