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Patient-professional partnerships and chronic back pain self-management: a qualitative systematic review and synthesis.
- Source :
-
Health & Social Care in the Community . May2016, Vol. 24 Issue 3, p247-259. 13p. 1 Black and White Photograph, 3 Charts. - Publication Year :
- 2016
-
Abstract
- Chronic back pain is common, and its self-management may be a lifelong task for many patients. While health professionals can provide a service or support for pain, only patients can actually experience it. It is likely that optimum self-management of chronic back pain may only be achieved when patients and professionals develop effective partnerships which integrate their complementary knowledge and skills. However, at present, there is no evidence to explain how such partnerships can influence patients' self-management ability. This review aimed to explore the influence of patient-professional partnerships on patients' ability to self-manage chronic back pain, and to identify key factors within these partnerships that may influence self-management. A systematic review was undertaken, aiming to retrieve relevant studies using any research method. Five databases were searched for papers published between 1980 and 2014, including Cochrane Library, CINAHL, Medline, EMBASE and Psyc INFO. Eligible studies were those reporting on patients being supported by professionals to self-manage chronic back pain; patients being actively involved for self-managing chronic back pain; and the influence of patient-professional partnerships on self-management of chronic back pain. Included studies were critically appraised for quality, and findings were extracted and analysed thematically. A total of 738 studies were screened, producing 10 studies for inclusion, all of which happened to use qualitative methods. Seven themes were identified: communication, mutual understanding, roles of health professionals, information delivery, patients' involvement, individualised care and healthcare service. These themes were developed into a model suggesting how factors within patient-professional partnerships influence self-management. Review findings suggest that a partnership between patients and professionals supports patients' self-management ability, and effective communication is a fundamental factor underpinning their partnerships in care. It also calls for the development of individualised healthcare services offering self-referral or telephone consultation to patients with chronic conditions. [ABSTRACT FROM AUTHOR]
- Subjects :
- *BACKACHE
*CHRONIC pain
*CINAHL database
*INFORMATION storage & retrieval systems
*MEDICAL databases
*MEDICAL information storage & retrieval systems
*PSYCHOLOGY information storage & retrieval systems
*MEDICAL personnel
*PATIENT-professional relations
*MEDLINE
*PATIENT education
*RESEARCH funding
*HEALTH self-care
*SYSTEMATIC reviews
*OCCUPATIONAL roles
*THEMATIC analysis
*PATIENT-centered care
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 24
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 114245454
- Full Text :
- https://doi.org/10.1111/hsc.12223