Mixed Methods Study of Patient and Primary Care Provider Perceptions of Chronic Pain Treatment.
Mixed Methods Study of Patient and Primary Care Provider Perceptions of Chronic Pain Treatment.
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患者和初级保健提供者对慢性疼痛治疗感知的混合方法研究。
DOI：
10.1016/j.pec.2020.08.038
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发表时间：
2021-03
影响因子：
3.5
通讯作者：
Cardarelli R
中科院分区：
文献类型：
--
作者：
Roper KL;Jones J;Rowland C;Thomas-Eapen N;Cardarelli R
一项涉及患者焦点小组和初级保健提供者（PCP）调查的混合方法研究旨在比较慢性疼痛（CP）及其治疗的观点。我们的目标是确定促进以病人为中心的护理的需求和障碍。来自一个学术医疗中心的CP患者的两个焦点小组探讨了与PCP的相互作用以及他们对CP治疗的理解、经验和期望。他们还被问及对自我评估/沟通工具的看法。我们比较了两个PCP研究网络的调查数据的主题。CP患者了解阿片类药物的风险，害怕PCP的判断和屈尊俯就，同时感受到PCP的恐惧和避免阿片类药物处方。PCP不满意他们提供最佳CP护理的能力，尽管患者对他们的诊所就诊普遍感到满意。评价工具，特别是对职能活动的评估，受到所有人的欢迎，但被认为时间太长。患者对阿片类药物风险的理解，对功能目标和行为治疗的关注愿望可能比PCP感知的更大。如果认识到这种理解和态度上的差距，就可以支持高质量的沟通和干预战略。这些研究结果指导患者PCP沟通对治疗目标的调整和加强护理的协调。
A mixed-method study involving patient focus groups and survey of primary care providers (PCPs) sought to compare perspectives about chronic pain (CP) and its treatment. Our goal was to identify needs and barriers for facilitating patient-centered care. Two focus groups of CP patients from a single academic medical center explored interactions with PCPs and their understandings, experiences, and expectations of CP treatment. They were also asked their opinions about self-assessment/communication tools. We compared themes with survey data from two PCP research networks. CP patients understand opioid risks and fear PCP judgement and condescension, while sensing PCP fear and avoidance of opioid prescribing. PCPs are dissatisfied with their ability to provide optimal CP care, despite feeling that patients are generally satisfied with their clinic visits. Evaluation tools, especially assessment of functional activities, are favorably viewed by all, but deemed time prohibitive. Patients’ understanding of opioid risks, desire for attention on functional goals and behavioral treatment may be greater than PCPs perceive. Such gaps in understanding and attitudes, if recognized, could support high-quality communication and interventional strategies. These findings guide patient-PCP communication toward alignment of treatment goals and enhanced coordination of care.
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