title: Staying at work with back pain: patients' experiences of work-related help received from GPs and other clinicians. A qualitative study.
abstract: BACKGROUND
  Low back pain commonly affects work ability, but little is known about the work-related help and advice that patients receive from GPs and other clinicians. The purpose of this study was to explore the experiences of employed people with back pain and their perceptions of how GPs and other clinicians have addressed their work difficulties.
  
  
  METHODS
  A qualitative approach with thematic analysis was used. Individual interviews were carried out with twenty-five employed patients who had been referred for back pain rehabilitation. All had expressed concern about their ability to work due to low back pain.
  
  
  RESULTS
  The perception of the participants was that GPs and other clinicians had provided little or no work-focused guidance and support and rarely communicated with employers. Sickness certification was the main method that GPs used to manage participants' work problems. Few had received assistance with temporary modifications and many participants had remained in work despite the advice they had received. There was little expectation of what GPs and other clinicians could offer to address work issues.
  
  
  CONCLUSIONS
  These findings question the ability of GPs and other clinicians to provide work-focused support and advice to patients with low back pain. Future research is recommended to explore how the workplace problems of patients can be best addressed by health professionals.
authors.affiliation: Division of Rehabilitation and Ageing, School of Community Health Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, UK. carolyn.coole@nottingham.ac.uk
authors.forename: Carol
authors.initials: C
authors.lastname: Coole
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Watson
authors.forename: Avril
authors.initials: A
authors.lastname: Drummond
mesh_terms: D000328:Adult; D001416:Back Pain / Q000523:psychology / Q000534:rehabilitation*; D000529:Complementary Therapies / Q000592:standards / Q000639:trends; D005260:Female; D058005:General Practitioners / Q000592:standards / Q000639:trends; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011787:Quality of Health Care / Q000592:standards / Q000639:trends; D012017:Referral and Consultation / Q000592:standards / Q000639:trends; D018582:Sick Leave / Q000639:trends; D006113:United Kingdom; D017132:Workplace / Q000592:standards; D055815:Young Adult
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