Louisa Chou1, Tom A Ranger1, Waruna Peiris1, Flavia M Cicuttini1, Donna M Urquhart1, Kaye Sullivan2, K L M D Seneviwickrama1, Andrew M Briggs3, Anita E Wluka4. 1. Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Alfred Hospital, Commercial Rd, Melbourne, Victoria 3004, Australia. 2. School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Curtin University, Bentley Perth, WA 6102, Australia. 3. MOVE: muscle, bone & joint health, 263 Kooyong Rd, Elsternwick, Victoria 3185, Australia. 4. Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Alfred Hospital, Commercial Rd, Melbourne, Victoria 3004, Australia. Electronic address: anita.wluka@monash.edu.
Abstract
BACKGROUND CONTEXT: Optimal management of low back pain (LBP) involves patients' active participation in care, facilitated by positive interactions with their health care provider(s) (HCP). An understanding of patients' perceived needs regarding their HCP is, therefore, necessary to achieve such outcomes. Therefore, the aim of the present study is to review the existing literature regarding patients' perceived needs of HCP managing LBP. METHODS: A systematic scoping review of publications in MEDLINE, EMBASE, CINAHL, and PsycINFO (1990-2016) was performed. Descriptive data regarding study design and methodology were extracted, and risk of bias was assessed. Aggregates of patients' perceived needs of HCP for LBP were categorized. RESULTS: Forty-three studies (30 qualitative, 12 quantitative, and 1 mixed methods) from 1,829 were relevant. Four areas of perceived need emerged: (1) there are several characteristics of HCP that patients desire, such as good communication and shared decision-making; (2) patients wanted HCP to provide information, including a cause of their LBP and legitimization of their symptoms; (3) patients' valued holistic, individualized care, and continuity of care; and (4) patients perceived long waiting times, difficulties with access to treatment, cost, and personal effort to be obstacles to care. CONCLUSIONS: Patients with LBP want patient-centered care, to be actively involved, and they have identified characteristics of HCP that foster a good provider-patient relationship. They noted areas of dissatisfaction with HCP and perceived obstacles to care. Given limited health care resources, HCP and policy makers need to implement novel methods of health care delivery that address these issues to facilitate improved patient satisfaction and achieve better patient and health system outcomes.
BACKGROUND CONTEXT: Optimal management of low back pain (LBP) involves patients' active participation in care, facilitated by positive interactions with their health care provider(s) (HCP). An understanding of patients' perceived needs regarding their HCP is, therefore, necessary to achieve such outcomes. Therefore, the aim of the present study is to review the existing literature regarding patients' perceived needs of HCP managing LBP. METHODS: A systematic scoping review of publications in MEDLINE, EMBASE, CINAHL, and PsycINFO (1990-2016) was performed. Descriptive data regarding study design and methodology were extracted, and risk of bias was assessed. Aggregates of patients' perceived needs of HCP for LBP were categorized. RESULTS: Forty-three studies (30 qualitative, 12 quantitative, and 1 mixed methods) from 1,829 were relevant. Four areas of perceived need emerged: (1) there are several characteristics of HCP that patients desire, such as good communication and shared decision-making; (2) patients wanted HCP to provide information, including a cause of their LBP and legitimization of their symptoms; (3) patients' valued holistic, individualized care, and continuity of care; and (4) patients perceived long waiting times, difficulties with access to treatment, cost, and personal effort to be obstacles to care. CONCLUSIONS:Patients with LBP want patient-centered care, to be actively involved, and they have identified characteristics of HCP that foster a good provider-patient relationship. They noted areas of dissatisfaction with HCP and perceived obstacles to care. Given limited health care resources, HCP and policy makers need to implement novel methods of health care delivery that address these issues to facilitate improved patient satisfaction and achieve better patient and health system outcomes.
Authors: Claire D Johnson; Scott Haldeman; Roger Chou; Margareta Nordin; Bart N Green; Pierre Côté; Eric L Hurwitz; Deborah Kopansky-Giles; Emre Acaroğlu; Christine Cedraschi; Arthur Ameis; Kristi Randhawa; Ellen Aartun; Afua Adjei-Kwayisi; Selim Ayhan; Amer Aziz; Teresa Bas; Fiona Blyth; David Borenstein; O'Dane Brady; Peter Brooks; Connie Camilleri; Juan M Castellote; Michael B Clay; Fereydoun Davatchi; Jean Dudler; Robert Dunn; Stefan Eberspaecher; Juan Emmerich; Jean Pierre Farcy; Norman Fisher-Jeffes; Christine Goertz; Michael Grevitt; Erin A Griffith; Najia Hajjaj-Hassouni; Jan Hartvigsen; Maria Hondras; Edward J Kane; Julie Laplante; Nadège Lemeunier; John Mayer; Silvano Mior; Tiro Mmopelwa; Michael Modic; Jean Moss; Rajani Mullerpatan; Elijah Muteti; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Shanmuganathan Rajasekaran; Heather Shearer; Matthew Smuck; Erkin Sönmez; Patricia Tavares; Anne Taylor-Vaisey; Carlos Torres; Paola Torres; Alexander van der Horst; Leslie Verville; Emiliano Vialle; Gomatam Vijay Kumar; Adriaan Vlok; William Watters; Chung Chek Wong; Jessica J Wong; Hainan Yu; Selcen Yüksel Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134
Authors: Deborah Kopansky-Giles; Claire D Johnson; Scott Haldeman; Roger Chou; Pierre Côté; Bart N Green; Margareta Nordin; Emre Acaroğlu; Arthur Ameis; Christine Cedraschi; Eric L Hurwitz; Selim Ayhan; David Borenstein; O'Dane Brady; Peter Brooks; Fereydoun Davatchi; Robert Dunn; Christine Goertz; Najia Hajjaj-Hassouni; Jan Hartvigsen; Maria Hondras; Nadège Lemeunier; John Mayer; Silvano Mior; Jean Moss; Rajani Mullerpatan; Elijah Muteti; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Kristi Randhawa; Carlos Torres; Paola Torres; Adriaan Vlok; Chung Chek Wong Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134
Authors: Robyn Speerin; Christopher Needs; Jason Chua; Linda J Woodhouse; Margareta Nordin; Rhona McGlasson; Andrew M Briggs Journal: Best Pract Res Clin Rheumatol Date: 2020-07-25 Impact factor: 4.098
Authors: Zacariah K Shannon; Stacie A Salsbury; Donna Gosselin; Robert D Vining Journal: BMC Complement Altern Med Date: 2018-12-04 Impact factor: 3.659
Authors: Jason M Beneciuk; Dorothy Verstandig; Chuck Taylor; Doug Scott; Joan Levin; Raine Osborne; Joel E Bialosky; Trevor A Lentz; Tava Buck; Anita L Davis; Christina Harder; Monika B Beneciuk; Virgil Wittmer; James Sylvester; Robert Rowe; David McInnes; Tad P Fisher; Lisa McGarrie Journal: Res Involv Engagem Date: 2020-06-01