<?xml version='1.0' encoding='UTF-8'?><xml><records><record><source-app name="HighWire" version="7.x">Drupal-HighWire</source-app><ref-type name="Journal Article">17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Hermoni, D</style></author><author><style face="normal" font="default" size="100%">Borkan, J M</style></author><author><style face="normal" font="default" size="100%">Pasternak, S</style></author><author><style face="normal" font="default" size="100%">Lahad, A</style></author><author><style face="normal" font="default" size="100%">Van-Ralte, R</style></author><author><style face="normal" font="default" size="100%">Biderman, A</style></author><author><style face="normal" font="default" size="100%">Reis, S</style></author><author><style face="normal" font="default" size="100%">Low Back Pain Working Group; RAMBAM Israeli Family Practice Research Network</style></author></authors><secondary-authors></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Doctor-patient concordance and patient initiative during episodes of low back pain.</style></title><secondary-title><style face="normal" font="default" size="100%">British Journal of General Practice</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2000</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2000-10-01 00:00:00</style></date></pub-dates></dates><pages><style  face="normal" font="default" size="100%">809-810</style></pages><volume><style face="normal" font="default" size="100%">50</style></volume><issue><style face="normal" font="default" size="100%">459</style></issue><abstract><style  face="normal" font="default" size="100%">Doctor-patient concordance and patient initiative were examined in a prospective network interview study, with telephone follow-up, of a cohort of 100 patients presenting with low back pain to their family physician. The average overall rate of concordance was 60% (95% CI = 53 to 66), with the highest rates for radiographic imaging studies and sick leave. No correlation was found between concordance and patient parameters. Subjects initiated an average of two (95% CI = 1.7 to 2.3) diagnostic or therapeutic procedures, the most common of which were for medications (40%), followed by bed rest (26%) and back school (22%). One out of every six subjects initiated a referral to a complementary therapist. Positive correlation was found between patient initiatives and pain severity (P = 0.022) and disability (P = 0.02). There was a negative correlation between the subjects' initiatives and their belief that the physician understood the cause of their pain and its influence on their life (P = 0.02). Overall, those patients who described more pain or disability sought more types of diagnostic and therapeutic measures, while those who felt they had been understood sought less.</style></abstract></record></records></xml>