title: Comparing clinical and lay accounts of the diagnosis and treatment of back pain.
abstract: This paper builds on the body of knowledge concerning clinician-patient relationships, patient-centred care and concordance. It extends the analysis to directly comparing patient and professional accounts of diagnosis, treatment and outcomes over time. Comparisons will be made between lay and clinical perspectives, but also between different professional approaches and patients' assessment of those differences. The paper is based upon an in-depth qualitative analysis of two case studies: first, one patient who established concordant relationships with the health professionals who treated her back pain; second, one patient who had both concordant and discordant relationships with health professionals. The issues explored centre on the determinants of concordant/discordant therapeutic relationships and whether greater attention given to the meaning of illness leads to improved care.
authors.affiliation: Primary Care Sciences Research Centre, Keele University. b.n.ong@keele.ac.uk
authors.forename: Bie Nio
authors.initials: BN
authors.lastname: Ong
authors.forename: Helen
authors.initials: H
authors.lastname: Hooper
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D004739:England; D005194:Family Practice / Q000592:standards*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D017116:Low Back Pain / Q000175:diagnosis* / Q000628:therapy*; D008875:Middle Aged; D010358:Patient Participation; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D010817:Physician-Patient Relations; D036301:Qualitative Research; D011787:Quality of Health Care; D012962:Sociology, Medical; D011795:Surveys and Questionnaires