Access and health equity

Digital MSK care and healthcare equity

Fabiola Costa

Study overview

Socioeconomic context can affect access to MSK care, symptom burden, and recovery. This study evaluated whether Sword’s remote multimodal digital care program supported outcomes across different levels of social deprivation in the United States.

Participants were stratified using social deprivation indices. Researchers analyzed pain, medication intake, mental health, productivity, engagement, and outcomes to understand whether members across socioeconomic contexts experienced meaningful improvement.

Key findings

Outcomes improved across social deprivation groups

The study found significant improvements across social deprivation categories, including pain, analgesic consumption, mental health, and productivity outcomes.

Members with higher deprivation also benefited

The study reported that productivity and non-work-related functional recovery were greater within the most deprived group, suggesting meaningful benefit among members with higher baseline social burden.

Engagement was high but varied slightly

Engagement remained high across categories, though the study noted some variation. This is important because equity requires not only access to care, but participation and completion.

Digital care may help reduce care-access barriers

By delivering care remotely, the program can reduce geographic and logistical barriers that may disproportionately affect socially deprived populations.

Why this study matters

This study is one of the most important health equity studies in Sword’s clinical library. It looks beyond average outcomes and asks whether a digital care model can support people across socioeconomic contexts.

The findings should be framed as evidence that multimodal digital care can contribute to equitable MSK rehabilitation across social deprivation categories. They should not be overstated as solving healthcare inequity broadly. The strength of the page is clinical rigor plus a clear access story.

Read the full study


Footnotes

  1. 1

    Areias AC, Molinos M, Moulder RG, Janela D, Scheer JK, Bento V, Yanamadala V, Cohen SP, Dias Correia F, Costa F. The Potential of a Multimodal Digital Care Program in Addressing Healthcare Inequities in Musculoskeletal Pain Management. npj Digital Medicine. 2023;6:180. DOI: 10.1038/s41746-023-00936-2.

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