Medical Research Unit, Spine Centre of Southern Denmark, Lillebaelt Hospital, Østre Hougvej 55, 5500, Middelfart, Denmark.
Health Services Research Unit, Lillebaelt Hospital, The Department of Regional Health Research, University of Southern Denmark, Beriderbakken 4, 7100, Vejle, Denmark.
BMC Health Serv Res. 2020 Feb 6;20(1):96. doi: 10.1186/s12913-020-4952-x.
Cross-sectoral care comprises interdisciplinary and coordinated efforts for patients with complex care needs involving various competencies and professions across the primary health care sector, hospital sector, and municipal services. Cross-sectoral care can increase the effectiveness of rehabilitation programmes, but the treatment courses often lack coherence. Establishing successful treatment pathways requires a better understanding of the health care challenges faced by patients with low back pain. The aim of this study was to explore how patients with low back pain experience cross-sectoral care.
A qualitative interview study including 25 patients with low back pain. Patients were recruited in connection with their appointment at the Spine Centre of Southern Denmark. Recruitment stopped when the interviews no longer added new knowledge to the subject. The data were analysed using a systematic text condensation approach.
Patients with low back pain experienced cross-sectoral care to be fragmented, with episodes lacking collaboration, information, and acknowledgement of their problem. They desired recognition of having a serious back problem and of being more than the diagnosis itself. Patients found it hard to keep track of their course of treatment due to a perceived lack of organisational support and collaboration between professionals. The patients called for more information about the treatment plan and the reasons for further referral in order to better understand and manage their treatment.
Patients' experiences indicate a need for a stronger person-centred approach in cross-sectoral care, in which the individual's experiences of living with low back pain are taken into account.
跨部门护理包括为涉及初级保健部门、医院部门和市政服务的各种能力和专业人员的复杂护理需求的患者提供跨学科和协调的努力。跨部门护理可以提高康复计划的效果，但治疗过程往往缺乏连贯性。建立成功的治疗途径需要更好地了解腰痛患者面临的医疗保健挑战。本研究的目的是探讨腰痛患者如何体验跨部门护理。
一项包括 25 名腰痛患者的定性访谈研究。患者是在丹麦南部脊柱中心预约时招募的。当访谈不再为主题增加新知识时，招募就停止了。使用系统文本浓缩方法分析数据。
腰痛患者体验到跨部门护理是碎片化的，各个阶段缺乏协作、信息和对他们问题的承认。他们渴望得到认可，认为自己有严重的背部问题，而不仅仅是诊断本身。由于缺乏组织支持和专业人员之间的协作，患者难以跟踪他们的治疗过程。患者呼吁提供更多关于治疗计划和进一步转诊的原因的信息，以便更好地理解和管理他们的治疗。
患者的经验表明，跨部门护理需要更强的以患者为中心的方法，考虑到个体与腰痛共存的体验。
