Patients' and primary healthcare professionals' perceptions regarding chronic low back pain and its management in Spain: a qualitative study

Purpose: This study aimed to explore and compare the perceptions of patients and primary healthcare professionals regarding the management of chronic low back pain. Methods: Qualitative study using 26 semi-structured individual interviews, and one discussion group, carried out in primary care in Lle...

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Bibliographic Details
Authors: Valenzuela Pascual, Francesc, García-Martínez, Ester, Molina-Luque, Fidel, Soler González, Jorge, Blanco Blanco, Joan, Rubí Carnacea, Francesc, Climent Sanz, Carolina, Briones Vozmediano, Erica Tula
Format: article
Status:Versión aceptada para publicación
Publication Date:2019
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10459.1/67881
Online Access:https://doi.org/10.1080/09638288.2019.1705923
http://hdl.handle.net/10459.1/67881
Access Level:Open access
Keyword:Low back pain
Chronic Low-Back Pain
Primary Care
Qualitative research
Description
Summary:Purpose: This study aimed to explore and compare the perceptions of patients and primary healthcare professionals regarding the management of chronic low back pain. Methods: Qualitative study using 26 semi-structured individual interviews, and one discussion group, carried out in primary care in Lleida, Spain. Results: Patients and primary healthcare professionals both had assumptions pertaining to: 1) the diagnosis and meaning of chronic low back pain, 2) expectations regarding treatment for pain reduction, and 3) communication between primary healthcare professionals and patients with chronic low back pain. Results suggest a mutual dissatisfaction with the diagnosis of chronic low back pain and a lack of understanding between primary healthcare professionals and patients. Some contradictions between them were also noted: the patients wanted quick solutions to reduce their pain, but the primary healthcare professionals required an accurate etiology to prescribe treatment, and the patients did not always follow the primary healthcare professionals' recommendations. Conclusions: Diagnosing and treating chronic low back pain is compromised due to differing expectations and the communication barriers that exist between healthcare professionals and their patients. Primary healthcare professionals should be aware of the power of their explanations and recommendations to patients.