“We need to get you focused”: General practitioners’ representations of chronic low back pain patients. / MacNeela, Padraig; Gibbons, Andrea; McGuire, Brian; Murphy, Andrew.

In: Qualitative Health Research, Vol. 20, No. 7, 2010, p. 977-986.

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“We need to get you focused”: General practitioners’ representations of chronic low back pain patients. / MacNeela, Padraig; Gibbons, Andrea; McGuire, Brian; Murphy, Andrew.

In: Qualitative Health Research, Vol. 20, No. 7, 2010, p. 977-986.

Research output: Contribution to journalArticlepeer-review

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MacNeela, Padraig ; Gibbons, Andrea ; McGuire, Brian ; Murphy, Andrew. / “We need to get you focused”: General practitioners’ representations of chronic low back pain patients. In: Qualitative Health Research. 2010 ; Vol. 20, No. 7. pp. 977-986.

BibTeX

@article{db9e5a99442949bfbfcb431ba2ef8ddf,
title = "“We need to get you focused”: General practitioners{\textquoteright} representations of chronic low back pain patients.",
abstract = "Although subject to considerable research from perspectives including general practitioners, patients, and perspective guidelines, chronic low back pain (CLBP) continues to be a common but contentious condition in primary care. We used medical consultation records, critical incident interviews, and a think-aloud problem-solving task to examine how general practitioners applied professional knowledge of the condition, especially in relation to psychosocial care. Using qualitative content analysis and thematic analysis, we identified a pragmatic, goal-focused approach to patients, a schema based on biomedical knowledge and tacit theories of motivation. The doctors{\textquoteright} expectations for CLBP included uncertainty over symptoms and doubts over patient credibility, which helped to explain an autonomous rather than collaborative approach to managing back pain patients. The findings are discussed in light of social representations theory, self-determination, and research on the therapeutic relationship.",
keywords = "chronic illness, communication, doctor-patient, decision making, clinical, pain, chronic, relationships, Health care",
author = "Padraig MacNeela and Andrea Gibbons and Brian McGuire and Andrew Murphy",
year = "2010",
doi = "DOI: 10.1177/1049732310364219",
language = "English",
volume = "20",
pages = "977--986",
journal = "Qualitative Health Research",
issn = "1049-7323",
publisher = "SAGE Publications Inc.",
number = "7",

}

RIS

TY - JOUR

T1 - “We need to get you focused”: General practitioners’ representations of chronic low back pain patients.

AU - MacNeela, Padraig

AU - Gibbons, Andrea

AU - McGuire, Brian

AU - Murphy, Andrew

PY - 2010

Y1 - 2010

N2 - Although subject to considerable research from perspectives including general practitioners, patients, and perspective guidelines, chronic low back pain (CLBP) continues to be a common but contentious condition in primary care. We used medical consultation records, critical incident interviews, and a think-aloud problem-solving task to examine how general practitioners applied professional knowledge of the condition, especially in relation to psychosocial care. Using qualitative content analysis and thematic analysis, we identified a pragmatic, goal-focused approach to patients, a schema based on biomedical knowledge and tacit theories of motivation. The doctors’ expectations for CLBP included uncertainty over symptoms and doubts over patient credibility, which helped to explain an autonomous rather than collaborative approach to managing back pain patients. The findings are discussed in light of social representations theory, self-determination, and research on the therapeutic relationship.

AB - Although subject to considerable research from perspectives including general practitioners, patients, and perspective guidelines, chronic low back pain (CLBP) continues to be a common but contentious condition in primary care. We used medical consultation records, critical incident interviews, and a think-aloud problem-solving task to examine how general practitioners applied professional knowledge of the condition, especially in relation to psychosocial care. Using qualitative content analysis and thematic analysis, we identified a pragmatic, goal-focused approach to patients, a schema based on biomedical knowledge and tacit theories of motivation. The doctors’ expectations for CLBP included uncertainty over symptoms and doubts over patient credibility, which helped to explain an autonomous rather than collaborative approach to managing back pain patients. The findings are discussed in light of social representations theory, self-determination, and research on the therapeutic relationship.

KW - chronic illness

KW - communication

KW - doctor-patient

KW - decision making

KW - clinical

KW - pain

KW - chronic

KW - relationships

KW - Health care

U2 - DOI: 10.1177/1049732310364219

DO - DOI: 10.1177/1049732310364219

M3 - Article

VL - 20

SP - 977

EP - 986

JO - Qualitative Health Research

JF - Qualitative Health Research

SN - 1049-7323

IS - 7

ER -