{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:36:22Z","timestamp":1785425782910,"version":"3.56.0"},"reference-count":56,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background: Progressive joint disorders (PJDs), including osteoarthritis, rheumatoid arthritis (RA) and are leading causes of disability worldwide. Early multidisciplinary intervention is critical; however, delayed non-pharmacological management, fragmented referral pathways and limited integration of pharmacists, despite their potential role in medication management and early \u2018red flag\u2019 identification, remain common.\nAim: To identify which PJDs are managed by which healthcare providers, to inform pharmacist referral pathways and promote integrated care.\nSetting: Non-physician healthcare providers (HCPs) in South Africa, including physiotherapists, occupational therapists, chiropractors, podiatrists, osteopaths, biokineticists and other complementary therapy providers.\nMethods: A quantitative, cross-sectional survey was administered via REDCap\u00ae and distributed by professional bodies through email and professional association platform advertisements. Descriptive statistics and quantitative content analysis assessed condition management, referral practices and collaboration.\nResults: A total of 266 HCPs participated. Osteoarthritis (91.7%) and RA (84.6%) were the most managed conditions. High interprofessional collaboration was noted with physiotherapists (71.4%) and limited with pharmacists (23.3%). Most providers (76.3%) did not require referral letters. Referrals to and from other providers were common, but incoming referrals varied by profession. Internal consistency was acceptable (Cronbach\u2019s \u03b1 &gt; 0.70).\nConclusion: Progressive joint disorders were predominantly managed by chiropractors, physiotherapists and biokineticists. Referral pathways were inconsistent, and pharmacist integration remained limited.\nContribution: This study presents the first national mapping of non-physician roles in PJD management in South Africa, providing critical insights for future development of pharmacist-inclusive referral guidelines.<\/jats:p>","DOI":"10.4102\/phcfm.v18i1.5281","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T12:15:36Z","timestamp":1778242536000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of progressive joint disorders by non-physician healthcare providers in South Africa: A mapping study to inform pharmacist integration"],"prefix":"10.4102","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4500-3414","authenticated-orcid":false,"given":"Tumelo","family":"Modau","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3363-7695","authenticated-orcid":false,"given":"Demitri","family":"Constantinou","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6767-7110","authenticated-orcid":false,"given":"An\u00e9","family":"Orchard","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Rezu\u0219 E, Cardoneanu A, Burlui A, et al. The link between inflammaging and degenerative joint diseases. Int J Mol Sci. 2019;20(3):614. https:\/\/doi.org\/10.3390\/ijms20030614","DOI":"10.3390\/ijms20030614"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Fu TC, Lane NE, Lee SH, Chen JC, Hsu SF, Chang CM. Editorial: Rehabilitation and alternative medicine in the healthcare for chronic rheumatic pain disorders. Front Med. 2025;12:1586105. https:\/\/doi.org\/10.3389\/fmed.2025.1586105","DOI":"10.3389\/fmed.2025.1586105"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Yoo YM, Kim KH. Facet joint disorders: From diagnosis to treatment. Korean J Pain. 2024;37(1):3\u201312. https:\/\/doi.org\/10.3344\/kjp.23228","DOI":"10.3344\/kjp.23228"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Mills GA, Dey D, Kassim M, Yiwere A, Broni K. Diagnostic tool for early detection of rheumatic disorders using machine learning algorithm and predictive models. BioMedInformatics. 2024;4(2):1174\u20131201. https:\/\/doi.org\/10.3390\/biomedinformatics4020065","DOI":"10.3390\/biomedinformatics4020065"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Kronbi F, Rkain H, Ez-zaoui S, et al. Attitudes, practices and perceived barriers toward implementing non-pharmacological management for rheumatoid arthritis among rheumatologists: An online cross-sectional survey. Reumatologia. 2024;62(4):250\u2013258. https:\/\/doi.org\/10.5114\/reum\/191792","DOI":"10.5114\/reum\/191792"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Singer BA, Feng J, Chiong-Rivero H. Early use of high-efficacy therapies in multiple sclerosis in the United States: Benefits, barriers, and strategies for encouraging adoption. J Neurol. 2024;271(6):3116\u20133130. https:\/\/doi.org\/10.1007\/s00415-024-12305-4","DOI":"10.1007\/s00415-024-12305-4"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Shi Y, Wu W. Multimodal non-invasive non-pharmacological therapies for chronic pain: Mechanisms and progress. BMC Med. 2023;21(1):372. https:\/\/doi.org\/10.1186\/s12916-023-03076-2","DOI":"10.1186\/s12916-023-03076-2"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Huijbrechts EJ, Dekker J, Tenten-Diepenmaat M, Gerritsen M, Van der Leeden M. Clinical guidance for podiatrists in the management of foot problems in rheumatic disorders: Evaluation of an educational programme for podiatrists using a mixed methods design. J Foot Ankle Res. 2021;14(1):15. https:\/\/doi.org\/10.1186\/s13047-020-00435-7","DOI":"10.1186\/s13047-020-00435-7"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Shahid A, Inam-Ur-Raheem M, Iahtisham-Ul-Haq, et al. Diet and lifestyle modifications: An update on non-pharmacological approach in the management of osteoarthritis. J Food Process Preserv. 2022;46(8):e16786. https:\/\/doi.org\/10.1111\/jfpp.16786","DOI":"10.1111\/jfpp.16786"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Loubani K, Polo KM, Baxter MF, Rand D. Identifying facilitators of and barriers to referrals to occupational therapy services by Israeli cancer health care professionals: A qualitative study. Am J Occup Ther. 2024;78(1):7801205050. https:\/\/doi.org\/10.5014\/ajot.2024.050414","DOI":"10.5014\/ajot.2024.050414"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Babatunde OO, Adetunji O, Alonge I, et al. Process and feasibility of implementing guideline recommendations for the care of osteoarthritis in West Africa. BMJ Glob Health. 2025;10(6):e018714. https:\/\/doi.org\/10.1136\/bmjgh-2024-018714","DOI":"10.1136\/bmjgh-2024-018714"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Chavan, AA, Kumbhar, SB, Shinde, VR, et al. Role of pharmacist in healthcare system. GSC Biol Pharm Sci. 2023;24(1):36\u201345. https:\/\/doi.org\/10.30574\/gscbps.2023.24.1.0261","DOI":"10.30574\/gscbps.2023.24.1.0261"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Dineen-Griffin S, Benrimoj SI, Garcia-Cardenas V. Primary health care policy and vision for community pharmacy and pharmacists in Australia. Pharm Pract (Granada). 2020;18(2): 1967. https:\/\/doi.org\/10.18549\/PharmPract.2020.2.1967","DOI":"10.18549\/PharmPract.2020.2.1967"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Lott BE, Anderson EJ, Villa Zapata L, et al. Expanding pharmacists\u2019 roles: Pharmacists\u2019 perspectives on barriers and facilitators to collaborative practice. J Am Pharm Assoc (2003). 2021;61(2):213\u2013220.e1. https:\/\/doi.org\/10.1016\/j.japh.2020.11.024","DOI":"10.1016\/j.japh.2020.11.024"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Hooper AD, Marquez J, Bajorek B, Cooper J, Newby D. Understanding pharmacists\u2019 engagement in sport and exercise medicine, including pharmacist-physiotherapist collaboration: A qualitative study and COM-B analysis. Explor Res Clin Soc Pharm. 2025;18:100593. https:\/\/doi.org\/10.1016\/j.rcsop.2025.100593","DOI":"10.1016\/j.rcsop.2025.100593"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Sun Q, Wan C, Xu Z, Huang Y, Xi X. Association of pharmaceutical care barriers and role ambiguity and role conflict of clinical pharmacists. Front Pharmacol. 2023;14:1103255. https:\/\/doi.org\/10.3389\/fphar.2023.1103255","DOI":"10.3389\/fphar.2023.1103255"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Naidoo V, Moodley R, Bangalee V, Suleman F. New medicine service by community pharmacists: An opportunity to enhance universal health coverage at a primary health level in South Africa. Inquiry. 2023;60:469580221146834. https:\/\/doi.org\/10.1177\/00469580221146834","DOI":"10.1177\/00469580221146834"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Li M, Raven J, Liu X. Feminization of the health workforce in China: Exploring gendered composition from 2002 to 2020. Hum Resour Health. 2024;22(1):15. https:\/\/doi.org\/10.1186\/s12960-024-00898-w","DOI":"10.1186\/s12960-024-00898-w"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Matseke MG. Taking stock of the healthcare workforce in the public health sector of South Africa during COVID-19: Implications for future pandemics. Afr J Public Sect Dev Gov. 2023;6(1):59\u201376. https:\/\/doi.org\/10.55390\/ajpsdg.2023.6.1.5","DOI":"10.55390\/ajpsdg.2023.6.1.5"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"De Villiers K. Bridging the health inequality gap: An examination of South Africa\u2019s social innovation in health landscape. Infect Dis Poverty. 2021;10(1):19. https:\/\/doi.org\/10.1186\/s40249-021-00804-9","DOI":"10.1186\/s40249-021-00804-9"},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"Krebs F, Lorenz L, Nawabi F, et al. Recruitment in health services research \u2013 A study on facilitators and barriers for the recruitment of community-based healthcare providers. Int J Environ Res Public Health. 2021;18(19):10521. https:\/\/doi.org\/10.3390\/ijerph181910521","DOI":"10.3390\/ijerph181910521"},{"key":"ref21","unstructured":"AHPCSA. Registers. The allied health professions council of South Africa [homepage on the Internet]. 2025 [cited 2025 Aug 09]. Available from: https:\/\/ahpcsa.co.za\/practitioners\/"},{"key":"ref22","unstructured":"HPCSA. HPCSA statistics [homepage on the Internet]. 2025 [cited 2025 Aug 09]. Available from: https:\/\/www.hpcsa.co.za\/statistics"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"Tang S, Zhang C, Oo WM, et al. Osteoarthritis. Nat Rev Dis Primers. 2025;11(1):10. https:\/\/doi.org\/10.1038\/s41572-025-00594-6","DOI":"10.1038\/s41572-025-00594-6"},{"key":"ref24","doi-asserted-by":"crossref","unstructured":"Gilchrist R, Kholvadia A. Team approach to osteoarthritis management: Viewpoints of biokineticists and physiotherapists in South Africa. S Afr J Sports Med. 2023;35(1):v35i1a15260. https:\/\/doi.org\/10.17159\/2078-516X\/2023\/v35i1a15260","DOI":"10.17159\/2078-516X\/2023\/v35i1a15260"},{"key":"ref25","doi-asserted-by":"crossref","unstructured":"Ramos-Petersen L, Reinoso-Cobo A, Ortega-Avila AB, et al. A clinical practice guideline for the management of the foot and ankle in rheumatoid arthritis. Rheumatol Int. 2024;44(8):1381\u20131393. https:\/\/doi.org\/10.1007\/s00296-024-05633-1","DOI":"10.1007\/s00296-024-05633-1"},{"key":"ref26","doi-asserted-by":"crossref","unstructured":"Roberts A, Harris K, Outen B, et al. Osteopathic manipulative medicine: A brief review of the hands-on treatment approaches and their therapeutic uses. Medicines (Basel). 2022;9(5):33. https:\/\/doi.org\/10.3390\/medicines9050033","DOI":"10.3390\/medicines9050033"},{"key":"ref27","doi-asserted-by":"crossref","unstructured":"Gioglou G, Trevlaki E, Trevlakis E. Physical therapy approaches in ankylosing spondylitis: A systematic review. Int J Curr Sci Res Rev. 2023;6(2):1629\u20131637. https:\/\/doi.org\/10.47191\/ijcsrr\/V6-i2-83","DOI":"10.47191\/ijcsrr\/V6-i2-83"},{"key":"ref28","doi-asserted-by":"crossref","unstructured":"Zhu Q, Chen J, Xiong J, et al. The efficacy of moxibustion and acupuncture therapy for ankylosing spondylitis: A protocol for an overview of systematic reviews and meta-analysis. Medicine (Baltimore). 2021;100(15):e25179. https:\/\/doi.org\/10.1097\/MD.0000000000025179","DOI":"10.1097\/MD.0000000000025179"},{"key":"ref29","doi-asserted-by":"crossref","unstructured":"Yong CY, Hamilton J, Benepal J, et al. Awareness of axial spondyloarthritis among chiropractors and osteopaths: Findings from a UK Web-based survey. Rheumatol Adv Pract. 2019;3(2):rkz034. https:\/\/doi.org\/10.1093\/rap\/rkz034","DOI":"10.1093\/rap\/rkz034"},{"key":"ref30","doi-asserted-by":"crossref","unstructured":"Schwendner M, Seule M, Meyer B, Krieg SM. Management of spine fractures in ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis: A challenge. Neurosurg Focus. 2021;51(4):E2. https:\/\/doi.org\/10.3171\/2021.7.FOCUS21330","DOI":"10.3171\/2021.7.FOCUS21330"},{"key":"ref31","doi-asserted-by":"crossref","unstructured":"Silva ME, De Melo EBB, Cabral MAL, et al. Effects of acupuncture on the signs and symptoms of people with rheumatic diseases: A scoping review. Complement Ther Med. 2025;91:103183. https:\/\/doi.org\/10.1016\/j.ctim.2025.103183","DOI":"10.1016\/j.ctim.2025.103183"},{"key":"ref32","doi-asserted-by":"crossref","unstructured":"Wojtania J, P\u0142eska K, \u0141epik M, et al. Gout and its impact on physical activity. Qual Sport. 2024;21:51463. https:\/\/doi.org\/10.12775\/QS.2024.21.51463","DOI":"10.12775\/QS.2024.21.51463"},{"key":"ref33","doi-asserted-by":"crossref","unstructured":"McIntyre A, Mackenzie L, Harvey M. Engagement of general practitioners in falls prevention and referral to occupational therapists. Br J Occup Ther. 2019;82(2):71\u201379. https:\/\/doi.org\/10.1177\/0308022618804752","DOI":"10.1177\/0308022618804752"},{"key":"ref34","doi-asserted-by":"crossref","unstructured":"Gassara Z, Feki A, Hakim Z, et al. Foot involvement in psoriatic arthritis: Prevalence, clinical and radiological features. Foot Ankle Surg. 2024;30(6):465\u2013470. https:\/\/doi.org\/10.1016\/j.fas.2024.03.006","DOI":"10.1016\/j.fas.2024.03.006"},{"key":"ref35","doi-asserted-by":"crossref","unstructured":"Sandoval DC, Fern\u00e1ndez-\u00c1vila DG. Assessment tools in psoriatic arthritis: A review. Rev Colomb Reumatol (Engl Ed). 2023;30:S75\u2013S86. https:\/\/doi.org\/10.1016\/j.rcreue.2022.11.003","DOI":"10.1016\/j.rcreu.2022.11.001"},{"key":"ref36","doi-asserted-by":"crossref","unstructured":"Overcash MD, Chillura C, Fender SP, et al. Psoriatic arthritis: The role of the nonphysician clinician in the diagnosis and treatment of patients with psoriasis. Drugs Ther Perspect. 2021;37(4):162\u2013174. https:\/\/doi.org\/10.1007\/s40267-021-00814-5","DOI":"10.1007\/s40267-021-00814-5"},{"key":"ref37","doi-asserted-by":"crossref","unstructured":"Romeyke T, Stummer H. Multimodal approaches in the treatment of chronic peripheral neuropathy \u2013 Evidence from Germany. Int J Environ Res Public Health. 2024;21(1):66. https:\/\/doi.org\/10.3390\/ijerph21010066","DOI":"10.3390\/ijerph21010066"},{"key":"ref38","doi-asserted-by":"crossref","unstructured":"Rzeczycki P, Rasner C, Lammlin L, et al. Cannabinoid receptor type 2 is upregulated in synovium following joint injury and mediates anti-inflammatory effects in synovial fibroblasts and macrophages. Osteoarthr Cartil. 2021;29(12):1720\u20131731. https:\/\/doi.org\/10.1016\/j.joca.2021.09.003","DOI":"10.1016\/j.joca.2021.09.003"},{"key":"ref39","doi-asserted-by":"crossref","unstructured":"Kriel C, Weilbach JT, Caldwell LL. Leisure education and recreation participation: A niche for recreational therapy in South Africa. World Leis J. 2022;64(4):399\u2013415. https:\/\/doi.org\/10.1080\/16078055.2022.2058995","DOI":"10.1080\/16078055.2022.2058995"},{"key":"ref40","doi-asserted-by":"crossref","unstructured":"Graham K, Matricciani L, Banwell H, et al. Australian podiatrists scheduled medicine prescribing practices and barriers and facilitators to endorsement: A cross-sectional survey. J Foot Ankle Res. 2022;15(1):11. https:\/\/doi.org\/10.1186\/s13047-022-00515-w","DOI":"10.1186\/s13047-022-00515-w"},{"key":"ref41","doi-asserted-by":"crossref","unstructured":"Lyhnebeck AB, Sahl Andersen J, Skou ST, Ris\u00f8r MB, Guassora AD. Trust, humor, and the balance of involvement \u2013 Patients with musculoskeletal conditions and comorbidities and their expectations towards physiotherapists. J Multimorb Comorb. 2025;15:26335565251321919. https:\/\/doi.org\/10.1177\/26335565251321919","DOI":"10.1177\/26335565251321919"},{"key":"ref42","doi-asserted-by":"crossref","unstructured":"O\u011fuz F, Arslan M. Knowledge and behavior of community pharmacists towards detecting drug-drug interactions. Eur J Life Sci. 2023;2(1):39\u201344. https:\/\/doi.org\/10.55971\/EJLS.1266042","DOI":"10.55971\/EJLS.1266042"},{"key":"ref43","doi-asserted-by":"crossref","unstructured":"Kc B, Alrasheedy AA, Mohamed Ibrahim MI, et al. Combatting opioid misuse, overuse and abuse: A systematic review of pharmacists\u2019 services and outcomes. Pain Manag. 2024;14(9):519\u2013529. https:\/\/doi.org\/10.1080\/17581869.2024.2411930","DOI":"10.1080\/17581869.2024.2411930"},{"key":"ref44","doi-asserted-by":"crossref","unstructured":"Chen J, Ma L, Li X, et al. Relation labeling in product knowledge graphs with large language models for e-commerce. Int J Mach Learn Cyber. 2024;15(12):5725\u20135743. https:\/\/doi.org\/10.1007\/s13042-024-02274-5","DOI":"10.1007\/s13042-024-02274-5"},{"key":"ref45","doi-asserted-by":"crossref","unstructured":"Vadivel S, Mani P, Anezi NA, et al. Knowledge and awareness about occupational therapy among healthcare professionals in Al-Ahsa. World J Biol Pharm Health Sci. 2021;8(1):8\u201312. https:\/\/doi.org\/10.30574\/wjbphs.2021.8.1.0104","DOI":"10.30574\/wjbphs.2021.8.1.0104"},{"key":"ref46","doi-asserted-by":"crossref","unstructured":"Engel RM, Beirman R, Grace S. An indication of current views of Australian general practitioners towards chiropractic and osteopathy: A cross-sectional study. Chiropr Man Therap. 2016;24:37. https:\/\/doi.org\/10.1186\/s12998-016-0119-6","DOI":"10.1186\/s12998-016-0119-6"},{"key":"ref47","doi-asserted-by":"crossref","unstructured":"Menz HB, Harrison C, Bayram C. Characteristics of general practitioner referrals to podiatrists in Australia, 2000\u20132016. Public Health. 2021;193:10\u201316. https:\/\/doi.org\/10.1016\/j.puhe.2021.01.015","DOI":"10.1016\/j.puhe.2021.01.015"},{"key":"ref48","doi-asserted-by":"crossref","unstructured":"Toloui-Wallace J, Forbes R, Thomson OP, Costa N. Fluid professional boundaries: Ethnographic observations of co-located chiropractors, osteopaths and physiotherapists. BMC Health Serv Res. 2024;24(1):344. https:\/\/doi.org\/10.1186\/s12913-024-10738-1","DOI":"10.1186\/s12913-024-10738-1"},{"key":"ref49","doi-asserted-by":"crossref","unstructured":"Rathore FA, Anwar F, Younas U. Multidisciplinary team working in rehabilitation medicine: Advantages and challenges. J Pak Med Assoc. 2024;74(2):409\u2013412. https:\/\/doi.org\/10.47391\/JPMA.24-13","DOI":"10.47391\/JPMA.24-13"},{"key":"ref50","doi-asserted-by":"crossref","unstructured":"Wilbur K, Kelly D, Jorgenson D. Interprofessional collaboration in pharmacist-led primary care clinics. Can Pharm J (Ott). 2025;158(3):172\u2013179. https:\/\/doi.org\/10.1177\/17151635241312423","DOI":"10.1177\/17151635241312423"},{"key":"ref51","doi-asserted-by":"crossref","unstructured":"Mbata AO, Ogbewele EG, Nwosu NT. Pharmacists in global primary healthcare systems: A comprehensive model for community health empowerment. Int J Front Med Surg Res. 2024;6(2):19\u201328. https:\/\/doi.org\/10.53294\/ijfmsr.2024.6.2.0044","DOI":"10.53294\/ijfmsr.2024.6.2.0044"},{"key":"ref52","doi-asserted-by":"crossref","unstructured":"Goodman SB, Jiranek W, Petrow E, Yasko AW. The effects of medications on bone. J Am Acad Orthop Surg. 2007;15(8):450\u2013460. https:\/\/doi.org\/10.5435\/00124635-200708000-00002","DOI":"10.5435\/00124635-200708000-00002"},{"key":"ref53","doi-asserted-by":"crossref","unstructured":"Altuwayrib S, Win KT, Freeman M. Medication adherence support applications for chronic arthritis patients: Healthcare providers\u2019 perspective in Saudi Arabia. Stud Health Technol Inform. 2024;310:1056\u20131060. https:\/\/doi.org\/10.3233\/SHTI231126","DOI":"10.3233\/SHTI231126"},{"key":"ref54","doi-asserted-by":"crossref","unstructured":"Ngusie HS, Ahmed MH, Mengiste SA, et al. The effect of capacity building evidence-based medicine training on its implementation among healthcare professionals in Southwest Ethiopia: A controlled quasi-experimental outcome evaluation. BMC Med Inform Decis Mak. 2023;23(1):172. https:\/\/doi.org\/10.1186\/s12911-023-02272-7","DOI":"10.1186\/s12911-023-02272-7"},{"key":"ref55","doi-asserted-by":"crossref","unstructured":"Harvey-Sullivan A, Lynch H, Tolley A, Gitlin-Leigh G, Kuhn I, Ford JA. What impact do self-referral and direct access pathways for patients have on health inequalities? 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