Evidence map›Paper›PMID 32131819›Full record

ArticleBMC health services research2020

Challenges to cross-sectoral care experienced by professionals working with patients living with low back pain: a qualitative interview study.

Lisbeth Petersen, Regner Birkelund, Berit Schiøttz-Christensen

Abstract read
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Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lisbeth PetersenMedical Research Unit, Spine Centre of Southern Denmark, Lillebaelt Hospital, Østre Hougvej 55, 5500, Middelfart, Denmark.
Regner BirkelundHealth Services Research Unit, Lillebaelt Hospital, The Department of Regional health Research, University of Southern Denmark, Beriderbakken 4, 7100, Vejle, Denmark.
Berit Schiøttz-ChristensenMedical Research Unit, Spine Centre of Southern Denmark, Lillebaelt Hospital, The Department of Regional health Research, University of Southern Denmark, Østre Hougvej 55, 5500, Middelfart, Denmark. Berit.Schiottz-Christensen@rsyd.dk.ORCID http://orcid.org/0000-0003-3866-856X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile interdisciplinary, cross-sectoral collaboration promotes the effectiveness of rehabilitation programmes for persons with low back pain, challenges remain for this process. Few studies have explored challenges to cross-sectoral care as experienced by all the involved professionals across sectors during a course of treatment. The aim of this study was to explore challenges to cross-sectoral care as experienced by professionals involved in the course of treatment for patients with low back pain.

methodThis semi-structured, qualitative interview study included 28 health care professionals and 8 social workers who interacted with patients with low back pain. A systematic text condensation method was used to analyse data. Nvivo was used to structure and thematise the interview data.

resultsProfessionals expressed challenges in relation to a lack of collaboration, knowledge sharing and acknowledgement of one other and they appeared to differ in their approach to patients with pain or patients with limited function. Additional challenges included time constraints, availability and subjective approaches to managing guidelines for low back pain. A lack of a common information technology (IT) registration system and limited knowledge of the work of other professions disrupted knowledge sharing among sectors. DISCUSSION: The different approach to patients with pain or patients with limited function challenged mutual understanding and collaboration among professionals. The lack of mutual understanding and knowledge of each other's work appeared to create an environment of disrespect and distrust among professionals that generated feelings of a lack of acknowledgement from other health care professionals.

conclusionTo provide cross-sectoral care, we must ensure that professionals work together towards transparent and informed transitions from one sector to the next. This study contributes to the existing literature by presenting challenges to cross-sectoral care that are experienced by the diverse groups of professionals involved in a course of treatment for patients with low back pain.

Indexed as

Interprofessional RelationsAdultDelivery of Health CareFemaleHealth PersonnelHealth Services ResearchHumansLow Back PainMaleMiddle AgedQualitative ResearchSocial WorkersChallengesCoherencyContinuity of careCourse of treatmentCross-sectoral careLow back painProfessionals’ experiencesQualitative study

Identifiers

PMID32131819
PMCPMC7057631

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LicenceCC BY
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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.