Within-team Patterns of Communication and Referral in Multimodal Treatment of Chronic Low Back Pain Patients by an Integrative Care Team Article Swipe
Bonnie B. O’Connor
,
David M. Eisenberg
,
Julie E. Buring
,
Catherine L. Liang
,
Kamila Osypiuk
,
Donald B. Levy
,
Peter M. Wayne
·
YOU?
·
· 2015
· Open Access
·
· DOI: https://doi.org/10.7453/gahmj.2014.076
YOU?
·
· 2015
· Open Access
·
· DOI: https://doi.org/10.7453/gahmj.2014.076
Background: Nonspecific chronic low back pain (CLBP) is a highly prevalent and costly public health problem with few treatment options that provide consistent and greater than modest benefits. Treatment of CLBP is shifting from unimodal to multimodal and multidisciplinary approaches, including biopsychoso-cially-based complementary and integrative care. Multidisciplinary approaches require unique levels of communication and coordination amongst clinicians; however, to date few studies have evaluated patterns of communication and decision making amongst clinicians collaborating in the care of challenging patients with CLBP. Methods: As part of an observational study evaluating the effectiveness and cost-effectiveness of an integrative, team-based care model for the treatment of CLBP, we used multiple qualitative research methods to characterize within-team cross-referral and communication amongst jointly-trained practitioners representing diverse biomedical and complementary disciplines. Patterns of communication and coordinated care are summarized for 3 cases of CLBP treated by multiple members (≥3) of an integrative medical team embedded within an academic hospital. Results: Patients were aged from 36 to 88 years with varied comorbidities. Qualitative content analysis revealed 5 emergent themes regarding integrative patient care and treatment decision in this clinic: (1) the fundamental importance of the clinic's formal teamwork training; (2) the critical communicative and collaborative function of regular team meetings; (3) the importance to patient care goals of having the varied disciplines practicing “under one roof”; (4) a universal commitment to understanding and treating patients as whole persons; and (5) a shared philosophy of helping patients to help themselves. These key themes are all interconnected and form the foundation of the clinic's culture. Conclusions: Our qualitative findings provide context for current trends in enhancing patient-centered, coordinated, and team-based care; efforts towards better understanding interprofessional communication; overcoming barriers to successful collaboration; and identifying best practices for fostering clinical teamwork and a strong team identity. Our findings also support the need for further qualitative research, in combination with quantitative research, for evaluating the effectiveness and cost-effectiveness of resource-intensive integrative models for the treatment of chronic conditions.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.7453/gahmj.2014.076
- https://journals.sagepub.com/doi/pdf/10.7453/gahmj.2014.076
- OA Status
- bronze
- Cited By
- 15
- References
- 38
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2053288949
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2053288949Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.7453/gahmj.2014.076Digital Object Identifier
- Title
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Within-team Patterns of Communication and Referral in Multimodal Treatment of Chronic Low Back Pain Patients by an Integrative Care TeamWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2015Year of publication
- Publication date
-
2015-03-01Full publication date if available
- Authors
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Bonnie B. O’Connor, David M. Eisenberg, Julie E. Buring, Catherine L. Liang, Kamila Osypiuk, Donald B. Levy, Peter M. WayneList of authors in order
- Landing page
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https://doi.org/10.7453/gahmj.2014.076Publisher landing page
- PDF URL
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https://journals.sagepub.com/doi/pdf/10.7453/gahmj.2014.076Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://journals.sagepub.com/doi/pdf/10.7453/gahmj.2014.076Direct OA link when available
- Concepts
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Referral, Multidisciplinary approach, Teamwork, Observational study, Medicine, Health care, Psychology, Qualitative research, Collaborative Care, Nursing, Family medicine, Primary care, Economics, Law, Pathology, Economic growth, Social science, Sociology, Political scienceTop concepts (fields/topics) attached by OpenAlex
- Cited by
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15Total citation count in OpenAlex
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2023: 1, 2022: 2, 2021: 1, 2020: 3, 2019: 2Per-year citation counts (last 5 years)
- References (count)
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38Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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