Using medical storytelling to communicate problems and solutions in the low back pain conundrum: an evidence-based tale of twins
Abstract Objectives Low back pain (LBP) is the number one cause of disability world-wide. It is also the most expensive area in healthcare. Patient-centered innovations are needed. This paper uses medical storytelling to illustrate the common problems that often lead to unnecessary suffering for pat...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | Chiropractic & Manual Therapies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12998-023-00499-9 |
| _version_ | 1797557603437379584 |
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| author | Donald R. Murphy Brian D. Justice Jeffrey Borkan |
| author_facet | Donald R. Murphy Brian D. Justice Jeffrey Borkan |
| author_sort | Donald R. Murphy |
| collection | DOAJ |
| description | Abstract Objectives Low back pain (LBP) is the number one cause of disability world-wide. It is also the most expensive area in healthcare. Patient-centered innovations are needed. This paper uses medical storytelling to illustrate the common problems that often lead to unnecessary suffering for patients, and costs to society. We present innovative solutions, including narrative interventions. Methods We use medical storytelling to present a scenario in which hypothetical twin patients with identical LBP episodes enter the healthcare system, with one twin managed in an appropriate manner, and the other inappropriately. Results One twin becomes a chronic LBP sufferer, while the other experiences quick resolution, despite identical conditions. Recommendations are made to de-implement inappropriate action and to implement a more productive approach. Conclusions Many patients with LBP descend into chronic pain. This is rarely inevitable based on clinical factors. Much of chronic LBP results from how the condition is handled within the healthcare system. Medical narrative may be one innovation to illustrate the problem of current LBP management, recommend solutions and foster changes in clinical behavior. Practical implications The starkly different outcomes for each identical twin are illustrated. Recommendations are made for reframing the situation to de-implement the inappropriate and to implement a more appropriate approach. |
| first_indexed | 2024-03-10T17:20:12Z |
| format | Article |
| id | doaj.art-56782aba05fe44a1b73c090543973589 |
| institution | Directory Open Access Journal |
| issn | 2045-709X |
| language | English |
| last_indexed | 2024-03-10T17:20:12Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Chiropractic & Manual Therapies |
| spelling | doaj.art-56782aba05fe44a1b73c0905439735892023-11-20T10:22:23ZengBMCChiropractic & Manual Therapies2045-709X2023-08-0131111110.1186/s12998-023-00499-9Using medical storytelling to communicate problems and solutions in the low back pain conundrum: an evidence-based tale of twinsDonald R. Murphy0Brian D. Justice1Jeffrey Borkan2Department of Family Medicine, Alpert Medical School of Brown UniversityExcellus BlueCross BlueShieldDepartment of Family Medicine, Alpert Medical School of Brown UniversityAbstract Objectives Low back pain (LBP) is the number one cause of disability world-wide. It is also the most expensive area in healthcare. Patient-centered innovations are needed. This paper uses medical storytelling to illustrate the common problems that often lead to unnecessary suffering for patients, and costs to society. We present innovative solutions, including narrative interventions. Methods We use medical storytelling to present a scenario in which hypothetical twin patients with identical LBP episodes enter the healthcare system, with one twin managed in an appropriate manner, and the other inappropriately. Results One twin becomes a chronic LBP sufferer, while the other experiences quick resolution, despite identical conditions. Recommendations are made to de-implement inappropriate action and to implement a more productive approach. Conclusions Many patients with LBP descend into chronic pain. This is rarely inevitable based on clinical factors. Much of chronic LBP results from how the condition is handled within the healthcare system. Medical narrative may be one innovation to illustrate the problem of current LBP management, recommend solutions and foster changes in clinical behavior. Practical implications The starkly different outcomes for each identical twin are illustrated. Recommendations are made for reframing the situation to de-implement the inappropriate and to implement a more appropriate approach.https://doi.org/10.1186/s12998-023-00499-9Low back PainNeck PainHealthcare SystemHealth System incentiveHealthcare Problem-SolvingPatient-centered care |
| spellingShingle | Donald R. Murphy Brian D. Justice Jeffrey Borkan Using medical storytelling to communicate problems and solutions in the low back pain conundrum: an evidence-based tale of twins Chiropractic & Manual Therapies Low back Pain Neck Pain Healthcare System Health System incentive Healthcare Problem-Solving Patient-centered care |
| title | Using medical storytelling to communicate problems and solutions in the low back pain conundrum: an evidence-based tale of twins |
| title_full | Using medical storytelling to communicate problems and solutions in the low back pain conundrum: an evidence-based tale of twins |
| title_fullStr | Using medical storytelling to communicate problems and solutions in the low back pain conundrum: an evidence-based tale of twins |
| title_full_unstemmed | Using medical storytelling to communicate problems and solutions in the low back pain conundrum: an evidence-based tale of twins |
| title_short | Using medical storytelling to communicate problems and solutions in the low back pain conundrum: an evidence-based tale of twins |
| title_sort | using medical storytelling to communicate problems and solutions in the low back pain conundrum an evidence based tale of twins |
| topic | Low back Pain Neck Pain Healthcare System Health System incentive Healthcare Problem-Solving Patient-centered care |
| url | https://doi.org/10.1186/s12998-023-00499-9 |
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