THU0631-HPR Validation of the Swedish Version of Start Back Tool Against the Short Version of The ÖRebro Musculoskeletal Pain Screening Questionnaire in Patients with Back and/or Neck Pain in Primary Health Care

2015 ◽  
Vol 74 (Suppl 2) ◽  
pp. 1319.2-1319
Author(s):  
M. Forsbrand ◽  
B. Grahn ◽  
J.C. Hill ◽  
I.I. Peterson ◽  
C. Post Sennehed ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Neck Pain ◽  
Musculoskeletal Pain ◽  
Short Version ◽  
Swedish Version ◽  
Screening Questionnaire ◽  
Start Back Tool ◽  
Primary Health

scholarly journals Individually Tailored Treatment Targeting Motor Behavior, Cognition, and Disability: 2 Experimental Single-Case Studies of Patients With Recurrent and Persistent Musculoskeletal Pain in Primary Health Care

2005 ◽  
Vol 85 (10) ◽  
pp. 1061-1077 ◽  
Author(s):  
Pernilla Åsenlöf ◽  
Eva Denison ◽  
Per Lindberg
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Pain Intensity ◽  
Musculoskeletal Pain ◽  
Pain Control ◽  
Motor Behavior ◽  
Patient Specific ◽  
Single Subject ◽  
Primary Health

Abstract Background and Purpose. This article introduces an individually tailored intervention targeting motor behavior, cognition, and disability in patients managed by physical therapists in primary health care. Effects on self-rated disability, pain intensity, and pain control are described. Subjects. Two women with recurrent or persistent disabling musculoskeletal pain were selected. Methods. Two experimental single-subject A1-B-C-A2 studies with multiple baselines across situations were used. Principal outcome data were collected daily with patient-specific continuous measures for 3 weeks before intervention, continuously during intervention, and for 2 weeks during each of the 1-, 4-, 6-, and 12-month follow-up examinations. Results. Disability and pain intensity decreased, and pain control increased in both subjects. The results were maintained at the follow-up examinations. Discussion and Conclusion. Positive outcomes of the intervention were reported from 2 subjects with recurrent and persistent disabling pain. Procedures for systematic tailoring of treatment to behavioral goals and individual patient characteristics are available as a result of the successful application. The results need to be replicated in future clinical controlled group studies.

Perspectives of implementing the biopsychosocial model to treat chronic musculoskeletal pain in primary health care

2020 ◽  
Author(s):  
Cláudio Gregório Nuernberg Back ◽  
Richard Eloin Liebano ◽  
Mariana Arias Avila
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Musculoskeletal Pain ◽  
Biopsychosocial Model ◽  
Healthcare Professionals ◽  
Chronic Musculoskeletal Pain ◽  
Biopsychosocial Approach ◽  
Unified Health System ◽  
Primary Health ◽  
The Common

Aim: To propose actions to organize healthcare of people with chronic musculoskeletal pain (CMP) into a biopsychosocial approach. Materials & methods: Narrative overview with the Brazilian Unified Health System as archetype to propose the implementation of a biopsychosocial approach to manage CMP. Results: Healthcare systems often use biomedical model for CMP management, which may explain the increase of demand and costs of CMP management. This is significant in Primary Health Care, where the healthcare professionals have difficulty with evaluating and treating psychosocial factors. Conclusion: The present perspective selected some actions that are part of the common procedures in Brazil’s Primary Health Care and proposed a protocol of amplified care for CMP management in all levels: orientation, health promotion, prevention and rehabilitation.

scholarly journals Forty Years after Alma-Ata: How People Trust Primary Health Care?

2020 ◽  
Author(s):  
Homayoun Sadeghi Bazargani ◽  
Mohammad Saadati ◽  
Jafar Sadegh Tabrizi ◽  
Mostafa Farahbakhsh ◽  
Mina Golestani
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Linear Regression ◽  
Economic Status ◽  
Public Trust ◽  
Short Version ◽  
Socio Economic Status ◽  
Services Delivery ◽  
Trust Level ◽  
Primary Health

Abstract Background: Primary Health Care (PHC) was introduced as the first level of health services delivery after Alma-Ata declaration. However, after forty years, it needs to be more trustful to achieve its predefined objectives. Public trust in PHC is one of the neglected issues in the context. The aim of this study is to evaluate public trust in PHC in Iran.Methods: The present investigation is a household survey conducted in East Azerbaijan Province, Iran. Two-stage cluster sampling method with Probability Proportional to Size (PPS) approach was used. Totally, 1178 households were enrolled in the study. PHC trust questionnaire and Ultra-short version of Socio-Economic Status assessment questionnaire (SES-Iran) was used for data collection. Data were analyzed using STATA software (version 15) through descriptive statistics and linear regression. Results: The mean± SD age of the participants was 41.2±15.1 and most (53.7%) were female. Mean score of PHC trust was 56.9±24.7 (out of 100). It was significantly different between residents of Tabriz (the capital of province) and other cities in the province (p<0.001). Linear regression showed that younger age, gender, insurance type, being married, and households higher socio-economic status had a significant positive effect on PHC trust level with R2 = 0.14383.Conclusions: Public trust in PHC system in Iran needs to be improved. Individual variables had a small but key role in trust level. PHC trust cannot be only affected by individual's variables and experiences but also by health system and health providers' characteristics and public context in which PHC system exists. PHC trust level could be used as a public indicator in health systems especially in Low and Middle Income Countries (LMIC) to contribute in system strengthening policies at the national and international levels.

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