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

The DOI matches its Crossref record; 66 of the 67 references it cites were found in a registry or an index.

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
Open this paper in CoChat — free account

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.

Overview

Integrity signals

Registry

Crossref · 10.1111/j.1526-4637.2010.00980.x

Cites

66 of 66 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Research works printed but not linked: 2

  1. Miller WL Crabtree BF . Depth interviewing. In: Crabtree BF Miller WL , eds. Doing Qualitative Research, 2nd edition. Thousand Oaks, CA: Sage; 1999:89–107.
  2. Gordon DB Dahl JL Stevenson KK . Building An Institutional Commitment to Pain Management: The Wisconsin Resource Manual, 2nd edition. Madison, WI: The Resource Center of the American Alliance of Cancer Pain Initiatives; 2000.

Cited by

Sorted by citations

See all 298

Related

See all

Metadata

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
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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review