scholarly journals Mixed Methods Study of Patient and Primary Care Provider Perceptions of Chronic Pain Treatment

2020 ◽  
Author(s):  
Karen L. Roper ◽  
Jarred Jones ◽  
Courtney Rowland ◽  
Neena Thomas-Eapen ◽  
Roberto Cardarelli
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Mixed Methods ◽  
Care Provider ◽  
Primary Care Provider ◽  
Pain Treatment ◽  
Mixed Methods Study ◽  
Provider Perceptions ◽  
Chronic Pain Treatment

scholarly journals Homeless Patients Associate Clinician Bias With Suboptimal Care for Mental Illness, Addictions, and Chronic Pain

2020 ◽  
Vol 11 ◽  
pp. 215013272091028
Author(s):  
Cyndi Gilmer ◽  
Kristy Buccieri
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Chronic Pain ◽  
Mental Illness ◽  
Care Provider ◽  
Primary Care Provider ◽  
Quality Care ◽  
Emergency Department Visits ◽  
Clinician Bias ◽  
Housing Status

Objective: To determine how accessible health care services are for people who are experiencing homelessness and to understand from their perspectives what impact clinician bias has on the treatment they receive. Methods: Narrative interviews were conducted with 53 homeless/vulnerably housed individuals in Ontario, Canada. Visit history records were subsequently reviewed at 2 local hospitals, for 52 of the interview participants. Results: Of the 53 participants only 28% had a primary care provider in town, an additional 40% had a provider in another town, and 32% had no access to a primary care provider at all. A subset of the individuals were frequent emergency department users, with 15% accounting for 75% of the identified hospital visits, primarily seeking treatment for mental illness, pain, and addictions. When seeking primary care for these 3 issues participants felt medication was overprescribed. Conversely, in emergency care settings participants felt prejudged by clinicians as being drug-seekers. Participants believed they received poor quality care or were denied care for mental illness, chronic pain, and addictions when clinicians were aware of their housing status. Conclusion: Mental illness, chronic pain, and addictions issues were believed by participants to be poorly treated due to clinician bias at the primary, emergency, and acute care levels. Increased access to primary care in the community could better serve this marginalized population and decrease emergency department visits but must be implemented in a way that respects the rights and dignity of this patient population.

scholarly journals Veterans Affairs Primary Care Provider Perceptions of Insomnia Treatment

2017 ◽  
Vol 13 (08) ◽  
pp. 991-999 ◽  
Author(s):  
Christi S. Ulmer ◽  
Hayden B. Bosworth ◽  
Jean C. Beckham ◽  
Anne Germain ◽  
Amy S. Jeffreys ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider ◽  
Veterans Affairs ◽  
Provider Perceptions ◽  
Insomnia Treatment

scholarly journals Primary Care Provider Perceptions and Practices Regarding Dosing Units for Oral Liquid Medications

2018 ◽  
Vol 18 (4) ◽  
pp. 405-408 ◽  
Author(s):  
Maribeth C. Lovegrove ◽  
Mathew R.P. Sapiano ◽  
Ian M. Paul ◽  
H. Shonna Yin ◽  
Tricia Lee Wilkins ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider ◽  
Provider Perceptions ◽  
Oral Liquid

scholarly journals Primary care provider perceptions and use of a novel medication reconciliation technology

2011 ◽  
Vol 19 (2) ◽  
pp. 105-118
Author(s):  
Blake Lesselroth ◽  
Patricia Holahan ◽  
Kathleen Adams ◽  
Zhen Sullivan ◽  
Victoria Church ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider ◽  
Medication Reconciliation ◽  
Provider Perceptions

Primary care provider perceptions of barriers to and facilitators of colorectal cancer screening in a managed care setting

Cancer ◽  
2004 ◽  
Vol 100 (9) ◽  
pp. 1843-1852 ◽  
Author(s):  
Gareth S. Dulai ◽  
Melissa M. Farmer ◽  
Patricia A. Ganz ◽  
Coen A. Bernaards ◽  
Karen Qi ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Managed Care ◽  
Colorectal Cancer Screening ◽  
Care Provider ◽  
Primary Care Provider ◽  
Care Setting ◽  
Provider Perceptions

Discussions between patients with chronic pain and their primary care provider about opioids and pain relief during routine clinic encounters

2019 ◽  
Vol 15 (2) ◽  
pp. 137-146
Author(s):  
Mayra Massey, MMFT ◽  
Carissa Carissa van den Berk Clark, PhD, MSW ◽  
Jocelyn Fowler, MMFT ◽  
Jeffrey F. Scherrer, PhD
Keyword(s):  
Primary Care ◽  
Decision Making ◽  
Chronic Pain ◽  
Pain Relief ◽  
Shared Decision Making ◽  
Care Provider ◽  
Primary Care Provider ◽  
Shared Decision ◽  
Difficult Conversations ◽  
Noncancer Pain

Objective: Existing studies indicate low levels of trust and shared decision making exist in the process of prescribing opioids for noncancer pain. Patient-provider communication has not been compared between patients receiving non-opioid pain medication, and those receiving opioids. This pilot study evaluated communication about pain management between patients with noncancer pain and their provider.Design: Patient encounters with a primary care provider (PCP) were audiorecorded, followed by a short patient questionnaire to measure physician trust, depression, and anxiety.Setting: Data were collected (October 2016-May 2017) at a primary care clinic in Saint Louis, MO.Patients: Patients with noncancer chronic pain, receiving a nonsteroidal anti-inflammatory drug (NSAID) or an opioid with and without an NSAID.Methods: Medical conversation analysis guided data interpretation of codes and themes.Results: Themes were framed around stages of the routine PCP encounter (ie, opening, presenting complaint, examination, diagnosis, treatment, and closing). Themes within these stages included: managing stability (opening stage), fixation with pain (presenting complaint), changing the subject (examination stage), difficult conversations (diagnosis stage), patients chose protest or acceptance (treatment), and taking what you can get (closing).Conclusions: Much of the treatment of chronic pain, as a result of opioid prescriptions, revolves around negotiations about whether to use opioids or not. Patient education is required to disseminate realistic expectations regarding pain relief and risks of long-term opioid use. This may reduce patients’ focus on pain severity and difficult conversations and increase shared decision making.

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