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A preference for dialogue: exploring the influence of patient preferences on clinical decision making and treatment in primary care physiotherapy
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten. Narhalsan Res and Dev Primary Hlth Care, Sweden; Univ Gothenburg, Sweden.
Narhalsan Res and Dev Primary Hlth Care, Sweden; Univ Gothenburg, Sweden.
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten.
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten.ORCID-id: 0000-0001-8612-583X
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2019 (engelsk)Inngår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 21, nr 2, s. 107-114Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Eliciting and considering patients preferences is essential to any clinical encounter and to good, high quality health care. Little research exists on how preferences are accommodated in decision making and how they influence treatment and rehabilitation. Aims: To explore perceptions of patients with musculoskeletal pain regarding how their preferences were accommodated in clinical decision making and influenced their rehabilitation, and whether their preferences changed during their rehabilitation. Methods: Qualitative interview study. Results: Participants preferences had, for the most part, influenced both choice of treatment and rehabilitation as a whole. While preferences were expressed to various extents, and largely perceived to be accommodated in the decision process, a good dialogue was considered essential for collaborative rehabilitation. Treatment decisions were to a large extent made jointly by the physiotherapist and the patient. Regardless of the strength of the preferences, participants appreciated the dialogue with the physiotherapist and the opportunity to discuss treatment options. The participants described how the physiotherapy episode of care had influenced their perceptions of and preferences for different treatment methods. Conclusions: The findings emphasise the importance of eliciting patient preferences, two-way communication and discussing treatment options, in order to stimulate collaborative rehabilitation.

sted, utgiver, år, opplag, sider
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD , 2019. Vol. 21, nr 2, s. 107-114
Emneord [en]
Rehabilitation; musculoskeletal pain; physical therapy; shared decision making; primary health care; qualitative research
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Identifikatorer
URN: urn:nbn:se:liu:diva-159078DOI: 10.1080/21679169.2018.1496474ISI: 000473828200007OAI: oai:DiVA.org:liu-159078DiVA, id: diva2:1338404
Merknad

Funding Agencies|Local Research and Development Council of Gothenburg and Sodra Bohuslan; Linkoping University

Tilgjengelig fra: 2019-07-22 Laget: 2019-07-22 Sist oppdatert: 2023-12-28

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