Understanding Team-Based Primary Care for the Management of Low Back Pain
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Authors
Vader, Kyle
Date
Type
thesis
Language
eng
Keyword
Low Back Pain , Primary Care , Interprofessional , Health Services , Qualitative Research , Rehabilitation Science
Alternative Title
Abstract
Low back pain (LBP) is a leading contributor to disability, high healthcare costs, and is one of the most common reasons for primary care visits. Calls to action emphasize a need to move away from biomedically focused and fragmented care models for LBP. Quality standards also recommend that patients with chronic LBP have access to interprofessional care. However, patients with LBP often receive fragmented care that is biomedically focused and access to interprofessional care remains a challenge. Team-based models of primary care may offer a solution. Team-based models of primary care include family physicians and/or nurse practitioners, as well as other healthcare providers, such as pharmacists, occupational therapists, physiotherapists, and social workers. Despite an expansion of team-based models of primary care across Canada and internationally, there are gaps in knowledge on the management of patients with LBP within this practice setting. The overarching aim of this dissertation was to advance knowledge on current and innovative approaches to team-based primary care for the management of patients with LBP. It includes the results of three inter-related interpretive description qualitative studies. The first study sought to understand experiences accessing care within team-based models of primary care among adults living with chronic LBP. The second study sought to understand healthcare providers’ experiences, perceived barriers and facilitators, and recommendations for providing team-based primary care for the management of chronic LBP. The third study sought to understand the perspectives of patients and primary care team members related to their experiences with an innovative team-based model of primary care where a physiotherapist was available as a first point-of-contact for patients with LBP. The results demonstrate that team-based models of primary care can contribute to positive patient and healthcare provider experiences and that these care models may improve patient access to integrated interprofessional care that is guideline adherent. However, opportunities remain to optimize care delivery in these contexts. The results have implications for future research and practice innovations aimed at improving the quality of care, experiences, and health outcomes of patients with LBP within team-based primary care settings.
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Queen's University's Thesis/Dissertation Non-Exclusive License for Deposit to QSpace and Library and Archives Canada
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Copying and Preserving Your Thesis
This publication is made available by the authority of the copyright owner solely for the purpose of private study and research and may not be copied or reproduced except as permitted by the copyright laws without written authority from the copyright owner.
Attribution 3.0 United States
ProQuest PhD and Master's Theses International Dissemination Agreement
Intellectual Property Guidelines at Queen's University
Copying and Preserving Your Thesis
This publication is made available by the authority of the copyright owner solely for the purpose of private study and research and may not be copied or reproduced except as permitted by the copyright laws without written authority from the copyright owner.
Attribution 3.0 United States