Cited by 298Patient-Provider Communication in HealthcareMusculoskeletal pain and rehabilitationPrimary Care and Health Outcomes

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The Patient–Provider Relationship in Chronic Pain Care: Providers' Perspectives

Matthias, Marianne S., Parpart, Amy L., Nyland, Kathryn A., Huffman, Monica A., Stubbs, Dawana L., Sargent, Christy, Bair, Matthew J.·2010·Pain Medicine

DOI 10.1111/j.1526-4637.2010.00980.x

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Abstract

BACKGROUND: Pain is the most commonly reported symptom in primary care and is a leading cause of disability. Primary care providers (PCPs) face numerous challenges in caring for patients with chronic pain including communication and relational difficulties. OBJECTIVE: The objective of the study was to elicit providers' perspectives on their experiences in caring for patients with chronic pain. DESIGN: The design used was a qualitative study using open-ended, in-depth interviews. PARTICIPANTS: Twenty providers (10 men, 10 women) from five different clinics were interviewed at the Roudebush Veterans Affairs Medical Center. RESULTS: Three broad themes emerged from the analysis: 1) providers emphasized the importance of the patient-provider relationship, asserting that productive relationships with patients are essential for good pain care; 2) providers detailed difficulties they encounter when caring for patients with chronic pain, including feeling pressured to treat with opioids, believability of patients' reports of pain, worries about secondary gain/diversion, and "abusive" or "difficult" patients; and 3) providers described the emotional toll they sometimes felt with chronic pain care, including feeling frustrated, ungratified, and guilty. FINDINGS: Findings were interpreted within a model of patient-centered care. CONCLUSIONS: The clinical implications of these findings are two-fold. First, PCPs' needs cannot be ignored when considering pain care. PCPs need support, both instrumental and emotional, as they care for patients with chronic pain. Second, improving PCPs' patient-centered communication skills-including demonstrating empathy and encouraging shared decision-making-holds promise for alleviating some of the strain and burden reported by providers, ultimately leading to improved patient care.

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Authors: Matthias, M. S., Parpart, A. L., Nyland, K. A., Huffman, M. A., Stubbs, D. L., Sargent, C., & Bair, M. J.
Affiliations: Richard L. Roudebush VA Medical Center (US)
VA NY Harbor Healthcare System (US)
Indiana University Indianapolis (US)
Corresponding author: Matthias, Marianne S.
ORCID: Matthias, Marianne S.
Bair, Matthew J.
Venue: Pain Medicine
Publisher: Oxford University Press (OUP)
Published: 2010-11
Volume: 11
Issue: 11
Pages: 1688-1697
ISSN: 1526-2375 (ISSN-L)
1526-4637
DOI: 10.1111/j.1526-4637.2010.00980.x
OpenAlex: W1794110802
Cited by: 298
References: 67
Citations by year: 2026: 15 · 2025: 11 · 2024: 13 · 2023: 14 · 2022: 16 · 2021: 28 · 2020: 25 · 2019: 27 · 2018: 24 · 2017: 21 · 2016: 26 · 2015: 16 · 2014: 19 · 2013: 18 · 2012: 16
FWCI: 22.15
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1 (tdm, 1765 d)
Locations: Pain Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Keywords: chronic pain, patient-provider relationship, primary care providers, provider perspectives, opioid prescribing, secondary gain, difficult patients, patient-centered care, shared decision-making, empathy, veterans
MeSH terms: Adult, Chronic Disease, Female, Health Personnel, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Nurse Practitioners, Pain, Pharmacists, Physicians, Professional-Patient Relations, Patient-Centered Care

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The Patient–Provider Relationship in Chronic Pain Care: Providers' Perspectives

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