Factors Influencing Primary Care Providers' Unneeded Lumbar Spine MRI Orders for Acute, Uncomplicated Low-Back Pain: a Qualitative Study.
Andrea L NevedalEleanor T LewisJustina WuJosephine JacobsJeffrey G JarvikRoger ChouPaul G BarnettPublished in: Journal of general internal medicine (2019)
Results describe how diverse environmental, patient, and provider factors contribute to unneeded LS-MRI for acute, uncomplicated low-back pain. Prior research using a single intervention to reduce unneeded LS-MRI has been ineffective. Results suggest that multifaceted de-implementation strategies may be required to reduce unneeded LS-MRI.
Keyphrases
- primary care
- contrast enhanced
- magnetic resonance imaging
- diffusion weighted imaging
- liver failure
- randomized controlled trial
- respiratory failure
- computed tomography
- drug induced
- urinary tract infection
- risk assessment
- case report
- aortic dissection
- intensive care unit
- acute respiratory distress syndrome
- climate change
- general practice
- extracorporeal membrane oxygenation