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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
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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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Crossref · 10.1111/j.1526-4637.2010.00980.x

Cites

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Citations

Cites

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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.

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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

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