Table 5.
Older adults’ recommendations regarding patient-centered communication for LBP co-management by MDs and DCs
| |
MD clinic |
DC clinic |
Senior center |
Senior housing |
||||||
|---|---|---|---|---|---|---|---|---|---|---|
| |
M |
M |
D |
D |
C |
C |
C |
H |
H |
H |
| 1 | 2 | 1 | 2 | 1 | 2 | 3 | 1 | 2 | 3 | |
| Providers should use respectful, honest communication between each other and with patients |
|
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
| Provider must listen to the patient |
✓ |
✓ |
|
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
| Patient must let doctors know they are seeing other providers for LBP |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
|
| Providers should explain condition, diagnosis, treatment and prognosis |
|
✓ |
✓ |
|
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
| Patients should use their own judgment about any advice for LBP |
|
✓ |
✓ |
✓ |
|
✓ |
|
✓ |
✓ |
✓ |
| Providers should spend more time with patient |
|
|
|
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
| Providers should not blame LBP on the older adults’ health condition or age |
|
✓ |
✓ |
|
|
✓ |
✓ |
✓ |
✓ |
✓ |
| Providers should discuss pain openly with their patients |
|
|
|
|
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
| MD-DC should resolve disagreements and present unified LBP approach to patient |
✓ |
|
|
|
✓ |
✓ |
✓ |
✓ |
|
|
| If dissatisfied with care, patient should change doctors or get another opinion | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |||
MD = Medical Doctor.
DC = Doctor of Chiropractic.
LBP = Low back pain.
M# = Medical clinic focus group 1 or 2.
D# = Chiropractic clinic focus group 1 or 2.
C# = Senior center focus group 1, 2 or 3.
H# = Senior housing focus group 1, 2 or 3.