Accessing care within team-based models of primary care for the management of chronic low back pain in Ontario, Canada: a qualitative study of patient experiences.

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Title: Accessing care within team-based models of primary care for the management of chronic low back pain in Ontario, Canada: a qualitative study of patient experiences.
Authors: Vader, Kyle, Donnelly, Catherine, Lane, Therese, Newman, Gillian, Tripp, Dean A., Miller, Jordan
Source: Disability & Rehabilitation. Mar2025, Vol. 47 Issue 5, p1224-1233. 10p.
Subjects: Chronic pain treatment, Health services accessibility, Teams in the workplace, Qualitative research, Research funding, Primary health care, Interviewing, Experience, Research methodology, Lumbar pain, Health care teams, Old age
Geographic Terms: Canada
Abstract: Purpose: To understand experiences accessing care within team-based primary care models among adults with chronic low back pain (LBP). Materials & Methods: We conducted an interpretive description qualitative study and collected data using one-to-one semi-structured interviews. Participants were recruited from publicly funded, team-based primary care models in Ontario, Canada. Results: We completed interviews with 16 adults with chronic LBP (9 women; median age of 66). Participants expressed a desire to access care from team-based models of primary care in hopes of alleviating pain and its impacts on daily life. Due to no direct out-of-pocket costs, co-location of healthcare providers, and the use of technology and virtual care, participants described an ease of accessing interprofessional care within team-based primary care models. Finally, participants described experiences with and expectations for timely access to care, being heard and understood by healthcare providers, and receiving coordinated care by an interprofessional team. Conclusions: Adults living with chronic LBP described overall positive experiences and specific expectations when accessing care within team-based models of primary care, whereby they experienced an ease of accessing interprofessional care with the hope of alleviating pain and its impacts. Results may be transferable to other chronic pain conditions and health system contexts. IMPLICATIONS FOR REHABILITATION: Chronic low back pain is a prevalent and disabling health condition that requires comprehensive interprofessional care. Team-based models of primary care may provide an important avenue for patients to access recommended healthcare services, including rehabilitation, for the management of chronic low back pain. Participants in this research described an overall ease of accessing interprofessional care within team-based primary care models with the hope of alleviating pain and its impacts on daily life. Participants described experiences with and expectations for quality care, including timely access to care, being heard and understood by healthcare providers, and receiving a coordinated care plan by an interprofessional team. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Accessing care within team-based models of primary care for the management of chronic low back pain in Ontario, Canada: a qualitative study of patient experiences.
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  Data: <searchLink fieldCode="AR" term="%22Vader%2C+Kyle%22">Vader, Kyle</searchLink><br /><searchLink fieldCode="AR" term="%22Donnelly%2C+Catherine%22">Donnelly, Catherine</searchLink><br /><searchLink fieldCode="AR" term="%22Lane%2C+Therese%22">Lane, Therese</searchLink><br /><searchLink fieldCode="AR" term="%22Newman%2C+Gillian%22">Newman, Gillian</searchLink><br /><searchLink fieldCode="AR" term="%22Tripp%2C+Dean+A%2E%22">Tripp, Dean A.</searchLink><br /><searchLink fieldCode="AR" term="%22Miller%2C+Jordan%22">Miller, Jordan</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Mar2025, Vol. 47 Issue 5, p1224-1233. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Chronic+pain+treatment%22">Chronic pain treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Teams+in+the+workplace%22">Teams in the workplace</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Experience%22">Experience</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Lumbar+pain%22">Lumbar pain</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+teams%22">Health care teams</searchLink><br /><searchLink fieldCode="DE" term="%22Old+age%22">Old age</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Canada%22">Canada</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Purpose: To understand experiences accessing care within team-based primary care models among adults with chronic low back pain (LBP). Materials & Methods: We conducted an interpretive description qualitative study and collected data using one-to-one semi-structured interviews. Participants were recruited from publicly funded, team-based primary care models in Ontario, Canada. Results: We completed interviews with 16 adults with chronic LBP (9 women; median age of 66). Participants expressed a desire to access care from team-based models of primary care in hopes of alleviating pain and its impacts on daily life. Due to no direct out-of-pocket costs, co-location of healthcare providers, and the use of technology and virtual care, participants described an ease of accessing interprofessional care within team-based primary care models. Finally, participants described experiences with and expectations for timely access to care, being heard and understood by healthcare providers, and receiving coordinated care by an interprofessional team. Conclusions: Adults living with chronic LBP described overall positive experiences and specific expectations when accessing care within team-based models of primary care, whereby they experienced an ease of accessing interprofessional care with the hope of alleviating pain and its impacts. Results may be transferable to other chronic pain conditions and health system contexts. IMPLICATIONS FOR REHABILITATION: Chronic low back pain is a prevalent and disabling health condition that requires comprehensive interprofessional care. Team-based models of primary care may provide an important avenue for patients to access recommended healthcare services, including rehabilitation, for the management of chronic low back pain. Participants in this research described an overall ease of accessing interprofessional care within team-based primary care models with the hope of alleviating pain and its impacts on daily life. Participants described experiences with and expectations for quality care, including timely access to care, being heard and understood by healthcare providers, and receiving a coordinated care plan by an interprofessional team. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/09638288.2024.2366000
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      – Code: eng
        Text: English
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        PageCount: 10
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    Subjects:
      – SubjectFull: Chronic pain treatment
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Teams in the workplace
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      – SubjectFull: Qualitative research
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      – SubjectFull: Primary health care
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      – SubjectFull: Interviewing
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      – SubjectFull: Experience
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      – SubjectFull: Research methodology
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      – SubjectFull: Lumbar pain
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      – SubjectFull: Old age
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      – SubjectFull: Canada
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              Text: Mar2025
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