Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain

Introduction: This project aimed to develop a Person-Centred Co-ordinated Care (P3C) pathway for low back pain (LBP). Description: A national working group was formed consisting of representatives from all regional healthcare organisations in Sweden and included all relevant healthcare professions,...

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Main Authors: Allan Abbott, Malin Forsbrand, Thomas Torstensson, Ann-Charlotte Lindström, Gudrun Greim, Sammy Klaff, Åsa Niper, Marc Karlsson, Christian Simonsberg, Mimmi Engström, Tommy Olsson, Annelie Petersson, Per Ekman, Peter Försth, Gösta Ullmark, Steven J. Linton
Format: Article
Language:English
Published: Ubiquity Press 2025-05-01
Series:International Journal of Integrated Care
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Online Access:https://account.ijic.org/index.php/up-j-ijic/article/view/8940
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Summary:Introduction: This project aimed to develop a Person-Centred Co-ordinated Care (P3C) pathway for low back pain (LBP). Description: A national working group was formed consisting of representatives from all regional healthcare organisations in Sweden and included all relevant healthcare professions, academia, and patient organisations. A mixed method iterative design and consensus approach was applied in the development of the P3C pathway. Discussion: As a foundation, patient interviews along with a review of literature were conducted investigating the evidence base for healthcare interventions, earlier regional care programs/pathways and guidelines in Sweden as well as patient experiences and challenges with healthcare for LBP. Updated evidence-based clinical recommendations, tools supporting the practical use of the national P3C pathway and national healthcare data registry-based quality outcome indicators were then developed. Thereafter, an open consultation period provided review and feedback for final revisions and consensus. Conclusions: Essential factors for integrating best praxis according to scientific evidence and patient and healthcare professional perspectives were identified to establish a Swedish national P3C pathway for LBP. This provides a novel and innovative example of feasible methodology applicable in the international context. Future research will evaluate potential improvements in healthcare quality outcomes and effectiveness of dissemination and implementation strategies.
ISSN:1568-4156