Journal article
Interdisciplinary Practice Models for Older Adults With Back Pain: A Qualitative Evaluation
The Gerontologist, Vol.58(2), pp.376-387
03/19/2018
DOI: 10.1093/geront/gnw188
PMCID: PMC5946898
PMID: 28082277
Abstract
Older adults seek health care for low back pain from multiple providers who may not coordinate their treatments. This study evaluated the perceived feasibility of a patient-centered practice model for back pain, including facilitators for interprofessional collaboration between family medicine physicians and doctors of chiropractic.
This qualitative evaluation was a component of a randomized controlled trial of 3 interdisciplinary models for back pain management: usual medical care; concurrent medical and chiropractic care; and collaborative medical and chiropractic care with interprofessional education, clinical record exchange, and team-based case management. Data collection included clinician interviews, chart abstractions, and fieldnotes analyzed with qualitative content analysis. An organizational-level framework for dissemination of health care interventions identified norms/attitudes, organizational structures and processes, resources, networks-linkages, and change agents that supported model implementation.
Clinicians interviewed included 13 family medicine residents and 6 chiropractors. Clinicians were receptive to interprofessional education, noting the experience introduced them to new colleagues and the treatment approaches of the cooperating profession. Clinicians exchanged high volumes of clinical records, but found the logistics cumbersome. Team-based case management enhanced information flow, social support, and interaction between individual patients and the collaborating providers. Older patients were viewed positively as change agents for interprofessional collaboration between these provider groups.
Family medicine residents and doctors of chiropractic viewed collaborative care as a useful practice model for older adults with back pain. Health care organizations adopting medical and chiropractic collaboration can tailor this general model to their specific setting to support implementation.
Details
- Title: Subtitle
- Interdisciplinary Practice Models for Older Adults With Back Pain: A Qualitative Evaluation
- Creators
- Stacie A Salsbury - Palmer College of ChiropracticChristine M Goertz - Palmer College of ChiropracticRobert D Vining - Palmer College of ChiropracticMaria A Hondras - University of Kansas Medical CenterAndrew A Andresen - Genesis Health SystemCynthia R Long - Palmer College of ChiropracticKevin J Lyons - Thomas Jefferson UniversityLisa Z Killinger - Palmer College of ChiropracticRobert B Wallace - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The Gerontologist, Vol.58(2), pp.376-387
- DOI
- 10.1093/geront/gnw188
- PMID
- 28082277
- PMCID
- PMC5946898
- NLM abbreviation
- Gerontologist
- ISSN
- 0016-9013
- eISSN
- 1758-5341
- Grant note
- C06 RR015433 / NCRR NIH HHS
- Language
- English
- Date published
- 03/19/2018
- Academic Unit
- Epidemiology; Family and Community Medicine; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984363600302771
Metrics
10 Record Views