Improving low back pain healthcare delivery: enhancing the biopsychosocial model.

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This Fellowship builds on my extensive clinical experience and research in low back pain treatment. Helpful in the early stages, focus on biological causes (e.g. damage to joints) in isolation from psychological and social factors is not advocated in ongoing back pain. A more complex approach is often difficult to implement. I build on a method I and others developed in Canada to assist clinics to shift approaches. Outcomes are local changes in the test clinics and industry-wide recommendations.