Low back pain is a public health problem with major individual and socio-economic repercussions. In primary care, strong disparities are observed in the management of low back pain patients. While general practitioners (GPs) and physiotherapists appear as two essential first-line caregivers, collaboration between these professionals remains underdeveloped, most often characterized by a lack of consultation or coordination. Systematic increased interprofessional collaboration is likely to improve the results of the care pathway, by optimizing the existing care offer.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
123
training general practitioner and physiotherapist
Maison de Santé Pluriprofessionnelle Universitaire
Fontainebleau, France
Disability at 3 months
Absolute change in overall Oswestry Disability Index (ODI) scale score between 0 and 3 months. Total score ranging from 0 (no functional disability) to 100 (severe functional disability).
Time frame: 3 months
Disability at 12 months
Absolute change in overall ODI scale score between 0 and 12 months. Total score ranging from 0 (no functional disability) to 100 (severe functional disability).
Time frame: 12 months
Health-related quality of life at 3 months
Absolute change of health-related quality of life by the EuroQol 5 Dimensions scale (EQ-5D) between 0 and 3 months and between 0 and 12 months
Time frame: 3 months
Health-related quality of life at 12 months
Absolute change of health-related quality of life by the EuroQol 5 Dimensions scale (EQ-5D) between 0 and 12 months
Time frame: 12 months
Evaluation of the course of care: compliance
number (%) of patients having followed the entire course of care
Time frame: 12 months
Evaluation of the course of care: number of consultations
total number of consultations with GPs and physiotherapists (PTs)
Time frame: 12 months
Evaluation of the course of care: medical imaging
total number of medical imaging related to low back during the follow up
Time frame: 12 months
Evaluation of the course of care: total cost
total cost (in euros €) of healthcare pathway in the two groups
Time frame: 12 months
Evaluation of effective collaborative practices
qualitative analysis of GP/PT collaboration using semi-structured interviews with professionals
Time frame: 12 months
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