Clinicians believed that guidelines were categorical , prescriptive , and constrained professional practice ; however , popular clinical practice s superseded the guidelines .
Imaging referrals were used to manage consultations and to obtain definitive diagnoses .
Clinicians ' perceptions reflected a lack of content knowledge and underst and ing of how guidelines are developed .
DISCUSSION Addressing misconceptions and other barriers to uptake of evidence -based guidelines for managing LBP is needed to improve knowledge transfer and close the evidence - practice gap in the treatment of this common condition
INTRODUCTION Despite the availability of evidence -based guidelines for the management of low back pain ( LBP ) that contain consistent messages , large evidence - practice gaps in primary care remain .
OBJECTIVES To perform a systematic review and meta synthesis of qualitative studies that have explored primary care clinicians ' perceptions and beliefs about guidelines for LBP , including perceived enablers and barriers to guideline adherence .
Low back pain in Australian adults. health provider utilization and care seeking.
OBJECTIVE To determine the characteristics of Australian adults who seek care for low back pain ( LBP ) , including the type of care they choose and any factors associated with making those choices . DESIGN A population -based mailed survey . SUBJECTS An age , gender , and state stratified r and om sample of 2768 Australian adults selected from the Electoral Roll . METHODS A self-administered , fully structured question naire included a series of questions relating to care seeking for LBP , choice of provider , and types of treatment received . In addition , a series of questions were asked relating to demographic characteristics , socioeconomic variables , severity of LBP , cigarette smoking , anthropometric variables , perceived cause of LBP , lifetime emotional distress , job satisfaction , lifetime physical fitness , past 5-year health status , and fear of LBP causing future impairment . RESULTS The response rate was 69.1 % . The sample proved to be similar to the Australian adult population . The majority of respondents with LBP in the past 6 months did not seek care for it ( 55.5 % ) . Factors that increased care seeking were higher grade s of pain and disability severity , fear of the impact of pain on future work and life , and female sex . Factors decreasing the likelihood for seeking care were identified as the cause of pain being an accident at home and also never being married . General medical practitioners and chiropractors are the most popular providers of care . CONCLUSION This study shows that a majority of people did not seek care for their LBP . The reasons for care seeking proved to be independent of social or economic status
Clinicians believed that guidelines were categorical , prescriptive , and constrained professional practice ; however , popular clinical practice s superseded the guidelines .
Imaging referrals were used to manage consultations and to obtain definitive diagnoses .
Clinicians ' perceptions reflected a lack of content knowledge and underst and ing of how guidelines are developed .
DISCUSSION Addressing misconceptions and other barriers to uptake of evidence -based guidelines for managing LBP is needed to improve knowledge transfer and close the evidence - practice gap in the treatment of this common condition
INTRODUCTION Despite the availability of evidence -based guidelines for the management of low back pain ( LBP ) that contain consistent messages , large evidence - practice gaps in primary care remain .
OBJECTIVES To perform a systematic review and meta synthesis of qualitative studies that have explored primary care clinicians ' perceptions and beliefs about guidelines for LBP , including perceived enablers and barriers to guideline adherence .