ArticleBMC complementary and alternative medicine2016
Primary care physicians, acupuncture and chiropractic clinicians, and chronic pain patients: a qualitative analysis of communication and care coordination patterns.
Article in BMC complementary and alternative medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Attitudes and perceptions of health care professionals concerning chiropractors and chiropractic practice: a systematic review.BMC complementary medicine and therapies · 2026Pooled it
- Interdisciplinary Practice Models for Older Adults With Back Pain: A Qualitative Evaluation.The Gerontologist · 2018Trial
- Health Care Systems Support to Enhance Patient-Centered Care: Lessons from a Primary Care-Based Chronic Pain Management Initiative.The Permanente journal · 2017Trial
- Enduring versus curable: mixed-methods perspectives about pain among chiropractic patients.European journal of integrative medicine · 2026Article
- "It's a reality brought to us by the patients": a qualitative study on general practitioners' views on and experience with complementary medicine in Switzerland.BMC primary care · 2025Article
- A multi-level implementation strategy to increase adoption of chiropractic care for low back pain in primary care clinics: a randomized stepped-wedge pilot study protocol.Chiropractic & manual therapies · 2025Article
- Coordination of Care Between a Primary Care Physician and a Chiropractic Resident for the Management of Meralgia Paresthetica: A Case Report.Journal of chiropractic medicine · 2025Article
- Healthcare provider perspectives on integrating a comprehensive spine care model in an academic health system: a cross-sectional survey.BMC health services research · 2024Article
- Clinician Perspectives on Referring Medicaid Back Pain Patients to Integrative and Complementary Medicine: A Qualitative Study.Journal of integrative and complementary medicine · 2023Article
- A triangulated perspective for understanding CAM use in Lebanon: a qualitative study.BMC complementary medicine and therapies · 2022Article
- The primary spine practitioner as a new role in healthcare systems in North America.Chiropractic & manual therapies · 2022Article
- What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: an integrative review.BMC primary care · 2022Review
- Attitudes towards chiropractic: a repeated cross-sectional survey of Canadian family physicians.BMC family practice · 2021Article
- Toolkit and distance coaching strategies: a mixed methods evaluation of a trial to implement care coordination quality improvement projects in primary care.BMC health services research · 2021Article
- Doctors of chiropractic working with or within integrated healthcare delivery systems: a scoping review protocol.BMJ open · 2021Article
- The Intersection of Dissemination Research and Acupuncture: Applications for Chronic Low Back Pain.Global advances in health and medicine · 2021Article
- Pain and Cortisol in Patients with Fibromyalgia: Systematic Review and Meta-Analysis.Diagnostics (Basel, Switzerland) · 2020Review
- Understanding Clinicians' Decisions to Assume Prescriptions for Inherited Patients on Long-term Opioid Therapy: A Qualitative Study.Pain medicine (Malden, Mass.) · 2020Article
- Comparative Effectiveness of Usual Care With or Without Chiropractic Care in Patients with Recurrent Musculoskeletal Back and Neck Pain.Journal of general internal medicine · 2018Article
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Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundA variety of people, with multiple perspectives, make up the system comprising chronic musculoskeletal pain (CMP) treatment. While there are frequently problems in communication and coordination of care within conventional health systems, more opportunities for communicative disruptions seem possible when providers use different explanatory models and are not within the same health management system. We sought to describe the communication system surrounding the management of chronic pain from the perspectives of allopathic providers, acupuncture and chiropractor (A/C) providers, and CMP patients.
methodsWe collected qualitative data from CMP patients (n = 90) and primary care physicians (PCPs) (n = 25) in a managed care system, and community acupuncture and chiropractic care providers (n = 14) who received high levels of referrals from the system, in the context of a longitudinal study of CMP patients' experience.
resultsMultiple points of divergence and communicative barriers were identified among the main stakeholders in the system. Those that were most frequently mentioned included issues surrounding the referral process (requesting, approving) and lack of consistent information flow back to providers that impairs overall management of patient care. We found that because of these problems, CMP patients were frequently tasked and sometimes overwhelmed with integrating and coordinating their own care, with little help from the system.
conclusionsPatients, PCPs, and A/C providers desire more communication; thus systems need to be created to facilitate more open communication which could positively benefit patient outcomes.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.