Effectiveness of a multifaceted implementation strategy compared to usual care on low back pain guideline adherence among general practitioners

BMC Health Services Research
Arnela SumanJohannes R Anema

Abstract

To improve patient care, and to reduce unnecessary referrals for diagnostic imaging and medical specialist care for low back pain, an evidence-based guideline for low back pain was developed in the Netherlands in 2010. The current study evaluated the effect of a multifaceted implementation strategy on guideline adherence among Dutch general practitioners. The implementation strategy included a multidisciplinary training, provision of educational material and an interactive website for healthcare professionals, supported by a multimedia eHealth intervention for patients with low back pain. Adherence was measured using performance indicators based on 3 months data extracted from the contacts with patients with low back pain recorded in the electronic medical records of participating general practitioners. Performance indicators were compared between two groups: a usual care group and an implementation group. Performance indicators were referrals to consultations with medical specialists, to diagnostic imaging, and to psychosocial and/or occupational physician consultations, and inquiries about psychosocial and occupational risk factors. The electronic medical records of 5130 patient contacts for LBP were analysed; 2453 patient co...Continue Reading

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Citations

Sep 1, 2020·Expert Review of Gastroenterology & Hepatology·Giancarlo SpinziMaurizio Capelli
Jan 16, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mark YatesChris G Maher
May 13, 2020·BMC Health Services Research·Ann Mari GransjøenBjørn Morten Hofmann

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Methods Mentioned

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imaging technique
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