Knee kinesiography KneeKG: Implementation analysis for scaling up in the public health care system


Due to the lack of clinical tools to help physicians guide and personalize treatment plans for knee problems, the current care pathway is inefficient and costly (both for the Quebec health care system and the patient). Knee Kinesiography is a 3D examination of the knee function, performed during loading and movement. This is made possible thanks to the KneeKGTM system, a Quebec innovation, which is to the knee what the electrocardiogram is to the heart. It allows the detection of mechanical biomarkers related to the symptoms, development and progression of knee problems. Since 2009, the implementation of knee kinesiography in the private healthcare sector in Quebec has established the organizational requirements to promote its integration into the knee care pathway. A large randomized Québec clinical study confirms that patients benefiting from the knee care pathway integrating knee kinesiography are more satisfied, report an improvement in their symptoms, functions and quality of life compared to patients in the regular care pathway. Since the clinical context and the organizational structures are different within the public healthcare sector, the objective of this project is to carry out an analysis of the implementation of knee kinesiography within the RSSS institutions in order to assess the factors influencing the integration, acceptance and the use of this innovation in the context of the public healthcare, involving different healthcare professionals. This evaluation will be instrumental in planning deployment of the KneeKG system throughout the RSSS, in Canada and internationally.