Healthcare professionals collaboration and satisfaction within an innovative primary care network for patients with chronic musculoskeletal pain: a mixed method study

Background/Objective: The Network Pain Rehabilitation Limburg (NPRL) was established to provide integrated, biopsychosocial-based rehabilitation care for patients with chronic musculoskeletal pain, emphasizing the delivery of appropriate care by the right person at the right place and cost. This study examines the perceived interprofessional collaboration practice (ICP) and work satisfaction among primary care healthcare professionals engaged in NPRL. Patients and Methods: A mixed-methods approach involved seven general practitioners (GPs), twenty-four therapists (physiotherapists and occupational therapists), and five mental health practice nurses in eleven semi-structured focus groups and one interview conducted from 2017 to 2020. The Interprofessional Collaboration Attainment Survey quantitatively measured healthcare professionals' ICP abilities before and after NPRL participation. Qualitative analysis, structured around existing ICP frameworks and the Quadruple Aim, was based on interview data. Results: Findings revealed stable ICP and work satisfaction, with discussions focusing on transitioning to a biopsychosocial perspective on chronic pain and its implications, along with concerns about GP burden and insurer reimbursement issues. Significant enhancements were noted in communication and team functioning (p < 0.05). Conclusions: Overall, healthcare professionals reported positive experiences with NPRL's integrated approach, showcasing dedication to providing rehabilitation care for chronic musculoskeletal pain in primary care. Recommendations for improving ICP included advocating for a broader societal biopsychosocial view of chronic pain, introducing case managers in primary care to support GPs, and exploring alternative reimbursement models with insurers. However, significant transformations to impact work satisfaction and ICP may necessitate more time and consideration.