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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| Format: | Article |
| Language: | English |
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Ubiquity Press
2025-05-01
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| 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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| author | 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 |
| author_facet | 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 |
| author_sort | Allan Abbott |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-c58a48a1d829408bbe8684774617ffeb |
| institution | DOAJ |
| issn | 1568-4156 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj-art-c58a48a1d829408bbe8684774617ffeb2025-08-20T03:21:07ZengUbiquity PressInternational Journal of Integrated Care1568-41562025-05-01258810.5334/ijic.89408836Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back PainAllan Abbott0https://orcid.org/0000-0002-4318-9216Malin Forsbrand1https://orcid.org/0000-0003-1407-3502Thomas Torstensson2https://orcid.org/0000-0002-8464-7762Ann-Charlotte Lindström3Gudrun Greim4Sammy Klaff5Åsa Niper6https://orcid.org/0000-0002-6548-2990Marc Karlsson7Christian Simonsberg8Mimmi Engström9Tommy Olsson10Annelie Petersson11Per Ekman12Peter Försth13Gösta Ullmark14Steven J. Linton15https://orcid.org/0000-0001-5359-0452Unit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University; Department of Orthopaedics in Linköping and Department of Biomedical and Clinical Sciences, Linköping University, LinköpingDepartment of Health, Blekinge Institute of Technology, Karlskrona; Department for quality and development, Region Blekinge, KarlskronaDepartment of Public Health and Caring Sciences, Family Medicine and Preventive Medicine Section, Uppsala University, UppsalaDepartment of Rehabilitation, NärRehab Primärvården Södra Älvsborg, Region Västra Götaland, AlingsåsNärhälsan Online, Region Västra GötalandTrädgårdstorgets vårdcentral, Region Östergötland, LinköpingDivision of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm; Vårdcentralen Hökarängen, Region Stockholm, StockholmVårdcentralen Oxie, Region Skåne, OxieSmärtcentrum, Östra Hospital – Sahlgrenska University Hospital, GothenburgNacka Rehabcentrum, Region Stockholm, NackaPatient representative, Swedish Rheumatism Association, StockholmPatient representative, Swedish Rheumatism Association, StockholmRyggkirurgiskt centrum, Region Stockholm, StockholmDepartment of Surgical Sciences, Orthopaedics and Handsurgery, Uppsala University, UppsalaDepartment of Orthopedics, Gävle Hospital, GävleSchool of Law, Psychology and Social Work, Center for Health and Medical Psychology, Örebro University, ÖrebroIntroduction: 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.https://account.ijic.org/index.php/up-j-ijic/article/view/8940person-centredcare pathwaylow back pain |
| spellingShingle | 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 Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain International Journal of Integrated Care person-centred care pathway low back pain |
| title | Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain |
| title_full | Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain |
| title_fullStr | Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain |
| title_full_unstemmed | Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain |
| title_short | Development of a Person-Centred Coordinated Care Pathway in Swedish Healthcare for Low Back Pain |
| title_sort | development of a person centred coordinated care pathway in swedish healthcare for low back pain |
| topic | person-centred care pathway low back pain |
| url | https://account.ijic.org/index.php/up-j-ijic/article/view/8940 |
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