The patient experience of osteopathic healthcare

• Participants in this study chose osteopathy after trying other manual therapy approaches first.
• They experienced thorough assessment, education and self-help strategies from osteopathic healthcare.
• They felt that the osteopathic intervention is tailored to them.
• They experienced osteopathic healthcare as an holistic approach with a depth of therapeutic relationship.

BackgroundOsteopathy in Australia is a primary care limited scope practice. Practitioner surveys suggest that patients present with chronic pain and receive manual therapies, exercise and lifestyle advice. Further research is required to deepen the understanding of this intervention from the perspective of patients.ObjectiveTo explore the experience of patients receiving osteopathic healthcare.DesignMixed methodology.MethodA quantitative survey of a convenience sample of patients was followed by qualitative semi-structured interviews in a purposive sample of respondents with chronic non-specific low back pain. The transcripts were analysed using a phenomenological approach.ResultsThe survey results suggested directions of enquiry for the interviews. Eleven subjects were interviewed and reported commonalities in their clinical histories with multisystem co-morbidities. Four themes became apparent: patient decision-making, patient shared experiences of the osteopathic healthcare consultation, tailored patient-centred care, and therapeutic relationship in healthcare.ConclusionThis data suggests that patients experience osteopathic healthcare after trying other disciplines; that there are shared aspects of the consultations, with a thorough assessment, education about their condition, multiple manual therapies and lifestyle advice; that the experience is patient-centred and tailored to their context; and that the therapeutic relationship is a key aspect of the experience. These results reflect a number of aspects of osteopathic healthcare from workplace surveys.