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Irish Journal of Medical Science (1971 -)
Published in: Irish Journal of Medical Science (1971 -) 3/2008

01-09-2008 | Original Article

Chronic low back pain: non-clinical factors impacting on management by Irish doctors

Authors: B. M. Fullen, C. Doody, G. David Baxter, L. E. Daly, D. A. Hurley

Published in: Irish Journal of Medical Science (1971 -) | Issue 3/2008

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Abstract

Introduction

General practitioners and consultants in the Republic of Ireland manage patients with chronic low back pain (LBP), but little is known about the non-clinical factors that impact on their management.

Aim

To establish the non-clinical factors that impact on the management of chronic LBP by a cohort of general practitioners and consultants.

Methods

Using a multiple case study design, semi-structured interviews were conducted with general practitioners (n = 7) and consultants (n = 7). Interviews were transcribed and analysed qualitatively.

Results

Two main themes emerged: policy factors (the health care system, the medico-legal system), and patient factors (need for reassurance, lack of patient adherence).

Conclusions

These factors operate at national and local levels. Nationally, they underscore the lack of resources, and the impact of the medico-legal system. Local issues include changing practice by reassuring patients using evidence-based biopsychosocial strategies to maximise patient care and reduce healthcare costs.
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Metadata
Title
Chronic low back pain: non-clinical factors impacting on management by Irish doctors
Authors
B. M. Fullen
C. Doody
G. David Baxter
L. E. Daly
D. A. Hurley
Publication date
01-09-2008
Publisher
Springer-Verlag
Published in
Irish Journal of Medical Science (1971 -) / Issue 3/2008
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-008-0174-7

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