The Management of Chronic Back Pain in Primary Care Settings: Exploring Perceived Facilitators and Barriers to the Development of Patient–Professional Partnerships

Abstract

Supporting patients in forming partnerships with health professionals is the key of effective self-management. This study aimed to explore the nature of patient-professional partnerships and its related factors that create facilitators and barriers to patients' self-management ability. A constructivist grounded theory approach was undertaken. Three main themes emerged: interaction and communication, integrated care, and service and system. A theoretical model was generated that posits effective communication, individualized integrated care, and high-quality service as key influences on the successful development of patient-professional partnerships and patients' ability to self-manage. Giving attention to these factors helps understand the development, implementation, mechanisms, and evaluation of building a patient-professional partnership and maximizes the opportunities for patient self-management of chronic pain. Future research and practice are needed to move beyond a simplistic focus on health outcomes to address the complex links between partnerships and treatment delivery processes, and interventions, effects, and patients' context.

What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: an integrative review

“…Across studies there was a total of n = 3803 participants, including patients, informal carers and family members. Studies were mostly conducted in the USA ( n = 13) [ 29 , 40 , 42 , 44 , 54 , 55 , 59 , 61 , 65 , 67 – 69 , 72 ], Australia ( n = 11) [ 26 – 28 , 30 , 34 , 36 , 41 , 52 , 57 , 63 , 66 ], UK ( n = 7) [ 31 , 39 , 46 – 48 , 53 , 60 ], Sweden ( n = 4) [ 38 , 49 – 51 ], Canada ( n = 3) [ 32 , 35 , 45 ] and The Netherlands ( n = 2) [ 9 , 64 ] with one study undertaken each in Belgium [ 62 ], Italy [ 71 ], France [ 33 ], New Zealand [ 43 ], Norway [ 58 ], Qatar [ 56 ] and, Spain [ 70 ], and one study conducted across multiple European countries [ 37 ]. Key characteristics of included studies are outlined in Additional file 3 .…”

Getting ready for transition to adult care: Tool validation and multi‐informant strategy using the Transition Readiness Assessment Questionnaire in pediatrics

“…Additionally, future use of the TRAQ‐FR in clinical practice could have the added benefits of initiating conversations within AYA‐professional dyads or AYA‐caregiver‐professional triads about the transition process. This could strengthen partnerships between families and the healthcare team, potentially fostering AYA self‐management and consequently facilitating their transition (Fu et al, 2018).…”

Patient Self-worth and Communication Barriers to Trust of Israeli Patients in Acute-Care Physicians at Public General Hospitals

“…Patient–physician trust in acute care develops, in part, due to a valuing attitude that clinicians reflect toward patients, leading to preservation of patients’ self-worth (Elander, Beach, & Haywood, 2011; Fu, McNichol, Marczewski, & José Closs, 2018; Gabay, Moskowitz, Silcher, & Galanter, 2017). Participants moved from initial trust in physicians to distrust as they felt that physicians mainly related to their disease and organs but neglected their emotions at their time of crisis and did not see them as a whole person.…”