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Table 8 Explanation of the factors within the theme “treatments factors”

From: Factors used by general practitioners for referring patients with chronic musculoskeletal pain: a qualitative study

Factors

Definition

Quote

Experience with treatment

The experiences of the GP and the patient with a certain practitioner that influenced the referral.

“In the first line, of course, we have the regular physiotherapist and the psychosomatic therapist, but I must say that I mainly refer to the Cesar therapist because we have good experiences with them” (GP1).

Distance

The distance between the hometown of the patient and the healthcare provider.

“Patients in Haaksbergen think it is quite a big deal to go to Enschede for a physiotherapist or an occupational therapist” (GP6).

Waiting list treatment

Healthcare institutions in the region Twente had varying waiting times and GPs took these into consideration when referring.

“…and then I prefer to refer a patient to the rehabilitation clinic, because the waiting time is not too bad” (GP5).

Bridging waiting list

Sometimes patients were on a waiting list for treatment and were referred to another healthcare provider to bridge the time on the waiting list.

“Yes, then I try to use the practice nurse mental health to bridge the gap.” (GP1).