Table 4

Older adult perceptions of potential facilitators and barriers of low back pain co-management by MDs and DCs
MD clinic DC clinic Senior center Senior housing
LBP Co-management facilitators M M D D C C C H H H
1 2 1 2 1 2 3 1 2 3
Co-management would benefit LBP patient
Collegial approach needed for LBP care
Historically strained relations between MDs and DCs has improved over time
Referrals/consultations/phone calls between MD and DC needed for co-management
Coordinated LBP treatment plan
Health record/X-ray sharing required
Offices located together or nearby
Individualized care for LBP
LBP Co-management barriers/concerns M M D D C C C H H H
1 2 1 2 1 2 3 1 2 3
Medication: do not want to use any medicine, side effects, no improvement, narcotic addiction, masking pain
Financial costs or insurance issues from receiving care from 2 or more doctors
Providers may not support a co-management approach to LBP care
Chiropractic: Side effects, providers who do not treat a condition, no improvement
Receiving care from multiple doctors
Duplicate/unneeded tests/treatments
Conflicting information or treatments
Scheduling and transportation concerns
Questionable benefit of either medical, chiropractic, or co-management based on previous LBP treatment experience

MD = Medical Doctor.

DC = Doctor of Chiropractic.

LBP = Low back pain.

M# = Medical clinic focus group 1 or 2.

D# = Chiropractic clinic focus group 1 or 2.

C# = Senior center focus group 1, 2 or 3.

H# = Senior housing focus group 1, 2 or 3.

Lyons et al.

Lyons et al. BMC Complementary and Alternative Medicine 2013 13:225   doi:10.1186/1472-6882-13-225

Open Data