The experiences and needs of people seeking primary care for low-back pain in Australia
The experiences and needs of people seeking primary care for low-back pain in Australia
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DOI：
10.1097/pr9.0000000000000756
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发表时间：
2019-07-01
期刊：
影响因子：
4.8
通讯作者：
Hush, Julia Margaret
中科院分区：
文献类型：
--
作者：
Ahern, Malene;Dean, Catherine Mary;Hush, Julia Margaret
Introduction：There is a knowledge gap about the current experience and needs of people with low back pain（LBP）seeking primary care in Australia.Objectives：The aim of this study was to understand the experiences and needs of Australians who have received treatment for LBP in primary care.Methods：This is a prospective，cross-sectional internet survey carried between July 2017 and September 2017.参与者是在过去一年中经历过LBP发作的成年人，曾在澳大利亚寻求初级保健，并精通英语。结果是患者报告的经验，初级保健治疗，包括寻求护理的原因，咨询卫生保健从业人员，收到的护理组件，和患者的评价的重要性和有益的treatment.Results：共有426名澳大利亚人完成了调查。完成调查的答复率为50%。参与者报告说，寻求LBP的初级保健不仅是为了缓解疼痛，而且是为了活动和参与日常社会角色以及生活质量和情绪的困难。参与者咨询了多个医疗保健从业人员，并使用了多种治疗方式。只有一半的人报告说他们接受了教育，知道接受基于准则的咨询的比例非常低。42%的受访者对护理的满意度低于中等水平。与会者报告说，他们希望LBP护理更以人为本，更好地适应他们的需求，他们还报告说，希望更多的教育，特别是关于预防未来的事件和自我管理。结论：目前寻求初级保健LBP在澳大利亚的人的需求似乎没有得到充分满足。改善患者的体验和结果可能需要更好地整合各提供者的医疗保健，并提供更多以人为本的护理。
Introduction:There is a knowledge gap about the current experiences and needs of people with low back pain (LBP) seeking primary care in Australia.Objectives:The aim of this study was to understand the experiences and needs of Australians who have received treatment for LBP in primary care.Methods:This was a prospective, cross-sectional internet survey conducted between July 2017 and September 2017. Participants were adults who had experienced an episode of LBP in the past year, had sought primary care in Australia, and were proficient in English. Outcomes were patient-reported experiences about primary care treatment, including reasons for seeking care, health care practitioners consulted, components of care received, and patients' evaluations of the importance and helpfulness of treatment.Results:A total of 426 Australians completed the survey. The response rate of survey completion was 50%. Participants reported seeking primary care for LBP not only for pain relief, but for difficulties with activities and participation with usual social roles as well as quality of life and mood. Participants consulted multiple health care practitioners and used numerous treatment modalities. Only half reported they received education and a very low proportion were aware of receiving guideline-based advice. The level of satisfaction with care was below moderate for 42% of respondents. Participants reported that they want LBP care to be more person-centred and better tailored to their needs; they also reported wanting more education, particularly about prevention of future episodes and self-management.Conclusions:The needs of people currently seeking primary care for LBP in Australia do not seem to be adequately met. Improving patients' experiences and outcomes may require better integration of health care across providers and delivery of more person-centred care.