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.
| Original language | English |
|---|---|
| Pages (from-to) | 691-711 |
| Number of pages | 21 |
| Journal | Spine Journal |
| Volume | 18 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 2018 |
Keywords
- Health care provider
- Health personnel
- Low back pain
- Need
- Patient perspective
- Preference
- Systematic review
Cite this
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Patients' perceived needs of health care providers for low back pain management : a systematic scoping review. / Chou, Louisa; Ranger, Tom A.; Peiris, Waruna; Cicuttini, Flavia M.; Urquhart, Donna M.; Sullivan, Kaye; Seneviwickrama, K. L. M. D.; Briggs, Andrew M.; Wluka, Anita E.
In: Spine Journal, Vol. 18, No. 4, 04.2018, p. 691-711.Research output: Contribution to journal › Review Article › Research › peer-review
TY - JOUR
T1 - Patients' perceived needs of health care providers for low back pain management
T2 - a systematic scoping review
AU - Chou, Louisa
AU - Ranger, Tom A.
AU - Peiris, Waruna
AU - Cicuttini, Flavia M.
AU - Urquhart, Donna M.
AU - Sullivan, Kaye
AU - Seneviwickrama, K. L. M. D.
AU - Briggs, Andrew M.
AU - Wluka, Anita E.
PY - 2018/4
Y1 - 2018/4
N2 - 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.
AB - 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.
KW - Health care provider
KW - Health personnel
KW - Low back pain
KW - Need
KW - Patient perspective
KW - Preference
KW - Systematic review
UR - http://www.scopus.com/inward/record.url?scp=85042648110&partnerID=8YFLogxK
U2 - 10.1016/j.spinee.2018.01.006
DO - 10.1016/j.spinee.2018.01.006
M3 - Review Article
VL - 18
SP - 691
EP - 711
JO - Spine Journal
JF - Spine Journal
SN - 1529-9430
IS - 4
ER -