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Informing Implementation of a National Integrated Clinical Pathway for Low Back Pain in Ireland: A Pre‐Implementation Qualitative Study With General Practitioners.

Introduction: Ireland's Health Service Executive is developing a new national integrated low back pain (LBP) pathway spanning primary and secondary care to improve LBP healthcare. Clinical pathways are frequently employed to optimise clinical outcomes and resource use but are challenging to implemen...

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Published in:Musculoskeletal Care Vol. 23; no. 1; pp. 1 - 8
Main Authors: Murphy, Cathriona, French, Helen, McCarthy, Geraldine, Albers, Bianca, Cunningham, Caitriona
Format: protocol tables/charts Journal Article
Published: Wiley-Blackwell Mar2025
Online Access:View this record in EBSCOhost
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      dt: Mar2025
      vid: 23
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        184045998
        184045998
        184045998
        10.1002/msc.70030
        184045998
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        atl: Informing Implementation of a National Integrated Clinical Pathway for Low Back Pain in Ireland: A Pre‐Implementation Qualitative Study With General Practitioners.
      aug:
        au:
          Murphy, Cathriona
          French, Helen
          McCarthy, Geraldine
          Albers, Bianca
          Cunningham, Caitriona
        affil: Physiotherapy Department, University Hospital Kerry, Tralee, Ireland
      sug:
        subj:
          Low Back Pain Therapy
          Health Care Delivery, Integrated
          Critical Path
          Program Implementation
          Physicians, Family
          Physician Attitudes Evaluation
          Ireland
          Qualitative Studies
          Implementation Science
          Conceptual Framework
      ab: Introduction: Ireland's Health Service Executive is developing a new national integrated low back pain (LBP) pathway spanning primary and secondary care to improve LBP healthcare. Clinical pathways are frequently employed to optimise clinical outcomes and resource use but are challenging to implement. Context‐specific implementation planning, leveraging implementation science and its conceptual frameworks, should inform successful implementation. Aim: To explore General Practitioner (GP) perceptions of the new LBP pathway, using their on‐the‐ground knowledge to assess barriers and facilitators to implementation with the goal of developing tailored implementation strategies. Methods: Qualitative data will be collected through semi‐structured one‐to‐one interviews with a purposive sample of GPs. Data analysis will be guided by Framework Analysis with initial open coding followed by mapping to the domains and constructs of the Consolidated Framework for Implementation Science and Proctor's implementation outcomes of acceptability, appropriateness and feasibility. Potential implementation strategies will be devised from the identified determinants of implementation. Conclusion: System‐wide changes and improvements in healthcare are difficult to accomplish. The rationale and design of a pre‐implementation study with key stakeholders is outlined with the view of informing optimal implementation of Ireland's new national integrated LBP pathway in primary care settings.
      pubtype: Academic Journal
      doctype:
        protocol
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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