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    Belief reinforcement: One reason why costs for low back pain have not decreased

    192212_94163_Belief_Reinforcement.Low_back_pain.pdf (606.5Kb)
    Access Status
    Open access
    Authors
    Zusman, Max
    Date
    2013
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Zusman, Max. 2013. Belief reinforcement: One reason why costs for low back pain have not decreased. Journal of Multidisciplinary Healthcare. 2013 (6): pp. 197-204.
    Source Title
    Journal of Multidisciplinary Healthcare
    DOI
    10.2147/JMDH.S44117
    ISSN
    1178-2390
    Remarks

    This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by-nc/ Please refer to the licence to obtain terms for any further reuse or distribution of this work.

    URI
    http://hdl.handle.net/20.500.11937/14066
    Collection
    • Curtin Research Publications
    Abstract

    Recent figures show that there has been no change in the upward trend of direct and indirect costs for the largely benign symptom of low back pain in Western societies. This is despite greater understanding and the recommendation of a much more conservative and independent approach to its management. Moreover, in recent years, several large-scale education programs that aim to bring knowledge of the public (including general practitioners) more in line with evidence-based best practice were carried out in different countries. The hope was that the information imparted would change beliefs, ie, dysfunctional patient behavior and biomedical practice on the part of clinicians. However, these programs had no influence on behavior or costs in three out of the four countries in which they were implemented. It is argued that one reason for the overall lack of success is that it is extremely difficult to alter the potentially disabling belief among the lay public that low back pain has a structural mechanical cause. An important reason for this is that this belief continues to be regularly reinforced by the conditions of care of a range of “hands-on” providers, for whom idiosyncratic variations of that view are fundamental to their professional existence.

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