The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
“They Don't Want Anything to Do with You”: Patient Views of Primary Care Management of Chronic Pain
Abstract
OBJECTIVE: Chronic pain is one of the most frequent complaints of patients in primary care, yet both patients and providers report low satisfaction with chronic pain care. This study was designed to explore the views held by a diverse sample of patients with chronic pain complaints about their care experiences to identify ways to improve care. DESIGN: Qualitative analysis of 17 patient focus groups (size 3-7 participants). Groups used structured questions and were tape recorded, transcribed, and coded using qualitative software. Eleven groups were conducted in English, six groups in Spanish. PATIENTS: Convenience sample of 72 adult patients (68% female, 44% Latino, mean age=48.1 years) recruited from four diverse primary care practices in Central Massachusetts. RESULTS: Across all 17 groups, and all gender, ethnicity, and age groups, most patients reported suboptimal interactions with their providers when seeking care for chronic pain. Subjects acknowledged feeling disrespected and distrusted, suspected of drug-seeking, and having their symptoms dismissed as trivial and/or not warranting medical care. Patients reported more satisfaction when they felt a provider listened to them, trusted them, was accessible to address pain concerns between visits, and used patient-centered approaches to establish goals and treatment plans. Patients also recommended some management techniques related to the chronic disease management model to improve pain care. CONCLUSIONS: Implementing patient-centered approaches in caring for individuals with chronic pain and using principles drawn from the chronic disease management model to improve care systems may improve both patient and provider satisfaction with chronic pain care.
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Cites
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Interventions for providers to promote a patient-centred approach in clinical consultations
Dwamena, F., Holmes-Rovner, M., Gaulden, C. M., Jorgenson, S., Sadigh, G., Sikorskii, A., Lewin, S., Smith, R. C., Coffey, J., Olomu, A., et al. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003267.pub2 · Cited by 1,227
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Interventions for providers to promote a patient-centred approach in clinical consultations
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Collaborative Care for Chronic Pain in Primary Care: A Cluster Randomized Trial
Dobscha, S. K., Corson, K., Perrin, N. A., Hanson, G. C., Leibowitz, R. Q., Doak, M. N., Dickinson, K. C., Sullivan, M. D., & Gerrity, M. S. (2009) · JAMA · doi:10.1001/jama.2009.377 · Cited by 330
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Cited by
Interdisciplinary chronic pain management: Past, present, and future.
Gatchel, R. J., McGeary, D. D., McGeary, C. A., & Lippe, B. (2014) · American Psychologist · doi:10.1037/a0035514 · Cited by 856
A comprehensive review of telehealth for pain management: where we are and the way ahead
McGeary, D. D., McGeary, C. A., & Gatchel, R. J. (2012) · Pain Practice · doi:10.1111/j.1533-2500.2012.00534.x · Cited by 101
Invalidation of chronic pain: a thematic analysis of pain narratives
Nicola, M., Correia, H., Ditchburn, G., & Drummond, P. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2019.1636888 · Cited by 101
A meta-ethnography of patients’ experience of chronic non-malignant musculoskeletal pain
Toye, F., Seers, K., Allcock, N., Briggs, M., Carr, E., Andrews, J., & Barker, K. (2013) · Health Services and Delivery Research · doi:10.3310/hsdr01120 · Cited by 98
Goals of Chronic Pain Management: Do Patients and Primary Care Physicians Agree and Does it Matter?
Henry, S. G., Bell, R. A., Fenton, J. J., & Kravitz, R. L. (2017) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000488 · Cited by 87
Metadata
- Authors
- Upshur, C. C., Bacigalupe, G., & Luckmann, R.
- Venue
- Pain Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-12
- Volume
- 11
- Issue
- 12
- Pages
- 1791-1798
- ISSN
- 1526-2375 (ISSN-L)
- 1526-4637
- OpenAlex
- W2154643533
- Cited by
- 236
- References
- 9
- FWCI
- 5.94
- Type
- journal article
- Language
- en
- Open access
- closed
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- Upshur, C. C., Bacigalupe, G., & Luckmann, R. (2010). “They Don't Want Anything to Do with You”: Patient Views of Primary Care Management of Chronic Pain. Pain Medicine. https://doi.org/10.1111/j.1526-4637.2010.00960.x
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
