top of page
AdobeStock_352149697.jpeg

Clinical strategies for controlling costs and improving quality in the primary care of low back pain

Cite

Full Text Link

Books and documents

-

Osteopathic Manipulative Treatment

J Back Musculoskelet Rehabil. 1993 Jan 1;3(4):1-13.

Authors:

R A Deyo

Abstract.

Back pain is a pervasive problem which ranks only behind cold symptoms as a reason for all physician visits. Among persons with back pain lasting at least two weeks, 85% will seek the care of a health professional. These patients obtain care from primary care physicians (Family Medicine, Internal Medicine, and Osteopathic physicians), but also see a variety of specialists, including physiatrists, rheumatologists, orthopedic surgeons, and neurosurgeons. Since any of these specialties may evaluate patients early in their course, it is important to adopt a systematic and rational early approach to back pain. This discussion emphasizes recent data suggesting that such an approach would include a parsimonious diagnostic evaluation, careful attention to patients' concerns, and careful choice of proven effective treatments. Specifically, we propose five strategies that may help to reduce costs of care while maintaining quality:1. Avoid premature or unnecessary diagnostic tests.2. Avoid patient deactivation.3. Avoid ineffective or unproven remedies.4. Prescribe effective therapy in a cost-conscious manner, and5. Emphasize lifestyle changes and patient self-efficacy. Keywords: Back pain; diagnosis back pain; lifestyle change; strategies for back pain.

Publication Date: 

1993 Jan

OEID: 

937

Deyo, AR. (1993) 'Clinical strategies for controlling costs and improving quality in the primary care of low back pain ', J Back Musculoskelet Rehabil. 1993 Jan 1;3(4):1-13.

Sponsored by 

logo-footer-k.png

Search    Explore    About    Join    Web Policy     Contact Us

Copyright © 2023 OsteoEvidence. All Rights Reserved.
 

bottom of page