TY - JOUR
T1 - Evaluation of a physician education intervention to improve primary care for low-back pain i
T2 - Impact on physicians
AU - Cherkin, Dan
AU - Deyo, Richard A.
AU - Berg, Alfred O.
AU - Bergman, James J.
AU - Lishner, Denise M.
PY - 1991/10
Y1 - 1991/10
N2 - In an effort to improve the cost-effectiveness of primary care for low-back pain, we developed, implemented, and evaluated a physician education intervention. The program was designed to provide family physicians with specific information, tools, and techniques that our previous studies and the literature suggested should be associated with more satisfying and cost-effective care for low-back pain. The in-clinic educational intervention included feedback of the findings of our previous studies of care for back pain (comparing family physicians and chiropractors), an up-to-date summary of scientific knowledge relevant to the management of back pain in primary care, a videotape contrasting ineffective and effective patient encounters, and a clinical assessment form for low-back pain. The back pain-related beliefs, attitudes, and behaviors of 15 primary care providers in a large health maintenance organization clinic and of 14 family physicians in six group practices were assessed before and after the intervention. Significant increases were noted in the proportions of providers who felt confident they knew how to manage low-back pain, who believed their patients were satisfied, and who claimed they reassured patients that they did not have serious disease. The intervention, however, had little impact on the prevalence of negative feelings about patients with back pain or frustration with patients who wanted their doctor to “fix” their problem. The intervention had a similar impact on health maintenance organization and fee-for-service physicians.
AB - In an effort to improve the cost-effectiveness of primary care for low-back pain, we developed, implemented, and evaluated a physician education intervention. The program was designed to provide family physicians with specific information, tools, and techniques that our previous studies and the literature suggested should be associated with more satisfying and cost-effective care for low-back pain. The in-clinic educational intervention included feedback of the findings of our previous studies of care for back pain (comparing family physicians and chiropractors), an up-to-date summary of scientific knowledge relevant to the management of back pain in primary care, a videotape contrasting ineffective and effective patient encounters, and a clinical assessment form for low-back pain. The back pain-related beliefs, attitudes, and behaviors of 15 primary care providers in a large health maintenance organization clinic and of 14 family physicians in six group practices were assessed before and after the intervention. Significant increases were noted in the proportions of providers who felt confident they knew how to manage low-back pain, who believed their patients were satisfied, and who claimed they reassured patients that they did not have serious disease. The intervention, however, had little impact on the prevalence of negative feelings about patients with back pain or frustration with patients who wanted their doctor to “fix” their problem. The intervention had a similar impact on health maintenance organization and fee-for-service physicians.
KW - Continuing medical education
KW - Low-back pain
KW - Primary care
UR - http://www.scopus.com/inward/record.url?scp=0026015140&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0026015140&partnerID=8YFLogxK
U2 - 10.1097/00007632-199110000-00007
DO - 10.1097/00007632-199110000-00007
M3 - Article
C2 - 1836676
AN - SCOPUS:0026015140
SN - 0362-2436
VL - 16
SP - 1168
EP - 1172
JO - Spine
JF - Spine
IS - 10
ER -