The initial visit for a pain problem in primary care is of vast importance because it sets the basis for a continued working relationship between the health-care provider (HCP) and the patient. Therefore, the spotlight has been placed on how HCPs actually communicate with their patients such as during a primary care visit. Guidelines point to a number of essential aspects, but how HCPs’ handle them during a typical visit is still largely unknown. To date, we know relatively little about what goes on behind the closed door of the consultation room. The Valjakka et al.  study in this issue of the Scandinavian Journal of Pain provides aninteresting and significant dimension to this research.The HCP–patient interaction is important because there is now consensus that pain needs to be considered within a biopsychosocial framework since psychosocial factors exert powerful influence on the development of chronicity , and this should start at the first visit. Indeed, a host of guidelines underscore the importance of addressing psychosocial factors and providing reassurance . The psychosocial component in secondary prevention programmes has progressively increased over the last two decades, but randomized-controlled-trial (RCT) outcomes have sometimes been disappointing, a consequence in part probably of
Scandinavian Journal of Pain – de Gruyter
Published: Jan 1, 2013
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