Multiprofessional assessment of patients with chronic pain in primary healthcare

Anneli Lövsund 1 , Britt-Marie Stålnacke 1  and Gunilla Stenberg 1 , 2
  • 1 Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå, Sweden
  • 2 Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå, Sweden
Anneli Lövsund
  • Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå, Sweden
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, Britt-Marie Stålnacke
  • Corresponding author
  • Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå, Sweden
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and Gunilla Stenberg
  • Umeå University, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå, Sweden
  • Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå, Sweden
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Abstract

Background and aims

Chronic pain is a common reason to seek health care. Multimodal rehabilitation is frequently used to rehabilitate patients with complex pain conditions. The multiprofessional assessment that patients go through before entering multimodal rehabilitation may, in itself, have a positive impact on patient outcome but little is known regarding patients own view. Therefore, the purpose of this study was to discover how patients experienced this multiprofessional assessment project.

Methods

Ten patients participating in a multiprofessional assessment at a primary healthcare centre in Western Finland were interviewed using a semi-structured interview. Qualitative content analysis was used to analyse the interviews.

Results

The analysis resulted in six categories of participant description of their multiprofessional assessment experiences and the rehabilitation plan they received. Feeling chosen or not quite fitting in was a category describing participant feelings upon starting the assessment. They expressed their thoughts on the examinations in the category more than just an examination. Being affirmed described participant desire to be taken seriously and treated well. Receiving support described the perceived roles of the team members. Participant negative experiences of the assessment were described in confusion and disappointment. Finally, in taking and receiving responsibilities, participants described their own role in the team.

Conclusions

Experiences of patients in a multiprofessional assessment were mostly positive. This highlights the value of a team assessment that takes several aspects of chronic pain into account when assessing complex patients.

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