Abstract
e_Musk1 in 2001 in Ferrara, Italy was a most enjoyable meeting —whether it will become the forerunner for promotion of evidence based practice in the management of musculoskeletal conditions will depend on what we do as a result. What is clear so far is that, amongst other things: there is an enormous existing, and growing, disease, and societal, burden due to musculoskeletal conditions; clinical practice does not always follow EBM principles; the quality of some of the research leaves a lot to be desired; funding for research is hard to come by; and patients are not at the center of health care policy making, service planning and delivery of care— professional and technological considerations dominate. The challenges, therefore, are great. Not doing anything, however, is not an option—not only because, as potential consumers of health care, we all want good quality and affordable health care for ourselves but also because if we do not do something then others, funders and regulators, will impose standards and sanctions. A follow up meeting was held in Lyon, France in October 2001, and it was agreed that the publication of this supplement should be used to further the aims of e_Musk. In doing so we need to ensure that we respect the work of various existing entities and be aware that organisation and delivery of services will be different in different countries—the local context is very important. The guiding principle for any international collaboration, therefore, should be ‘Adding Value’; together we should do what we can not do alone. Next steps for e_Musk
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