Understanding Primary Care Physicians' Treatment of Chronic Low ...

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Discussion • Compared to the low action group… – MA physicians had a more positive attitude towards opioids, and were more likely to believe that chronic pain has a physical cause. • This belief is widely endorsed by chronic pain patients, and often a source of conflict between physicians and patients. • This finding suggests that changing some physicians’ beliefs about the source of some patients’ pain may improve their treatment decisions and improve patient satisfaction with the quality of the medical encounter. – MA physicians were more likely to report having MA physicians were more likely to report having adequate consultation/referral resources, suggesting physicians use multiple modes of treatment if those resources are available to them.
Discussion • Compared to the low action group… – the MA group felt that the patient was less trustworthy. – MA physicians i were more likely l to be concerned about tthe effectiveness of opioids. • It is noteworthy that the group most likely to advocate opioids has more misgivings about its use and trust the patient t less than other groups • Perhaps lack of trust and concern about effectiveness contributed to decision to use opioid alternatives and refer for other care in addition to opioid therapy among “rule followers”
Page 1 and 2: Understanding Primary Care Physicia
Page 3 and 4: Chronic Pain Treatment • Prevalen
Page 5 and 6: Efficacy of Opioids for Chronic Pai
Page 7 and 8: Social Factors and Chronic Pain •
Page 9 and 10: Biopsychosocial model • Pain has
Page 11 and 12: Current Study • The current study
Page 13 and 14: Photonovella • Bt Between‐subje
Page 15 and 16: Images from Questionnaire
Page 17 and 18: Sample • Questionnaires sent to n
Page 19 and 20: Outcome Measure Please indicate how
Page 21 and 22: Latent Class Analysis • Creates c
Page 23 and 24: LCA Model Selection • We consider
Page 25 and 26: Latent Classes • Multimodal l/ Ag
Page 27 and 28: Moving Physicians into Multimodal T
Page 29 and 30: Measures - Physician Traits • Phy
Page 31 and 32: Measures - Pain Attitudes • Posit
Page 33 and 34: Measures - Perception of the Patien
Page 35 and 36: Measures - Resources • I have ade
Page 37 and 38: Analysis • Bivariate models (line
Page 39: Discussion • Compared to the psyc

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