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Titre : | Factors influencing physiotherapists implementation of high value care in the management of nonspecific low back pain in Indian healthcare settings: A qualitative study (2023) |
Auteurs : | Sweni Shah ; V. Prakash |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 67, October 2023) |
Article en page(s) : | 102838 |
Langues: | Anglais |
Mots-clés: | Non-specific low back pain ; Physiotherapists ; High-value care ; Barriers ; Facilitators ; Indian healthcare settings |
Résumé : | Background Non-specific low back pain is a common musculoskeletal condition that often requires the involvement of physiotherapists for effective management. However, there is limited understanding of the factors influencing physiotherapists' implementation of high-value care in the management of non-specific low back pain (NSLBP), particularly in Indian healthcare settings. Objective The aim of this study was to explore the barriers and facilitators of implementation of high-value care in managing NSLBP from the perspective of physiotherapists practicing in Indian healthcare settings. Design Descriptive qualitative design. Methods We adopted a descriptive phenomenological approach and purposefully selected physiotherapists (N = 15) from diverse healthcare settings, encompassing varying years of clinical experience, to capture a broad range of perspectives. Semi-structured face-to-face interviews were conducted via the Zoom video conferencing platform. Each interview lasted on average for 30?45 min, and no follow-up interviews were conducted. Data were analyzed using thematic analysis with an inductive approach. Results Our analysis revealed three major themes and seven sub-themes uncovering barriers and facilitators of implementation of high-value care. These themes include misconceptions about low back pain and its management among physiotherapists, their perceived lack of autonomy in clinical decision-making due to external influences, and the significance of aligning treatment plans with patient goals while considering evidence-based care. Conclusion The study results provide insights into the unique challenges associated with implementation of high-value care for non-specific low back pain in Indian healthcare settings. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781223001236 |