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Peer-reviewedCC BY-NC-NDMusculoskeletal care

'All Under One Roof': Health Professional Perspectives on Integrating Musculoskeletal Pain Management in a Proximity-Based Primary Healthcare Model.

  • Shauna Fjaagesund1,2
  • Gary Campbell1,3
  • Wayne Graham1
  • Mark Sayers1
  • Xiang-Yu Hou4
  • Ryan Fraser1
  • Jodie Orchard1,5
  • Marius Ungureanu6
  • Alexandru Coman7
  • Florin Oprescu1
7 affiliations
  1. 1University of the Sunshine Coast, Sippy Downs, Queensland, Australia.
  2. 2University of Queensland, Herston, Queensland, Australia.
  3. 3Brain Treatment Centre Australia, Morayfield, Queensland, Australia.
  4. 4University of Sydney, Broken Hill, New South Wales, Australia.
  5. 5Independent Nurse Practitioner, Hervey Bay, Queensland, Australia.
  6. 6Babes-Bolyai University, Cluj-Napoca, Romania.
  7. 7University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania.
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Abstract

Introduction

Musculoskeletal (MSK) pain is a leading contributor to disability and service demand in primary healthcare (PHC), particularly in socioeconomically disadvantaged communities. Contemporary responses increasingly emphasise people-centred, multimodal and non-pharmacological approaches. However, in practice, service integration is often limited to co-location, with insufficient clarity regarding how collaboration and integration are operationalised within private, fee-for-service PHC environments.Methods

This qualitative study explored how 22 health professionals working within a large-scale, proximity-based primary healthcare precinct in Australia defined and experienced service integration for MSK pain management. Semi-structured interviews were conducted across two timepoints (2021 and 2023) and analysed using reflexive thematic analysis, informed by implementation and people-centred care principles.Results

Three interdependent enablers of integration were identified: (1) Relationships, enabled by physical proximity, including shared philosophy and respect for professional roles; (2) Communication, characterised by knowledge exchange, forward momentum and shared processes; and (3) Consumer-centred access, via availability of affordable and needed services. Integration was experienced as a continuum, ranging from parallel multidisciplinary practice to higher-order interdisciplinary collaboration involving shared processes and collective responsibility for consumer outcomes.Conclusion

Within this site-specific context, physical proximity acted as a necessary but insufficient condition for effective integration. Higher levels of interdisciplinary practice emerged only when proximity was combined with shared values, effective communication and coordinated consumer flow. These findings provide a base for how proximity-based primary healthcare environments can operationalise people-centred integration and can inform scalable models of MSK care in private PHC settings.

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Cite

BibTeXRIS
BibTeX
@article{fjaagesund2026under,
  title = {{'All Under One Roof': Health Professional Perspectives on Integrating Musculoskeletal Pain Management in a Proximity-Based Primary Healthcare Model.}},
  author = {Shauna Fjaagesund and Gary Campbell and Wayne Graham and Mark Sayers and Xiang-Yu Hou and Ryan Fraser and Jodie Orchard and Marius Ungureanu and Alexandru Coman and Florin Oprescu},
  journal = {Musculoskeletal care},
  year = {2026},
  month = oct,
  doi = {10.1002/msc.70286},
  url = {https://europepmc.org/article/MED/42897848},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - 'All Under One Roof': Health Professional Perspectives on Integrating Musculoskeletal Pain Management in a Proximity-Based Primary Healthcare Model.
AU  - Shauna Fjaagesund
AU  - Gary Campbell
AU  - Wayne Graham
AU  - Mark Sayers
AU  - Xiang-Yu Hou
AU  - Ryan Fraser
AU  - Jodie Orchard
AU  - Marius Ungureanu
AU  - Alexandru Coman
AU  - Florin Oprescu
PY  - 2026
DA  - 2026/10/30
JO  - Musculoskeletal care
DO  - 10.1002/msc.70286
UR  - https://europepmc.org/article/MED/42897848
AB  - Introduction  Musculoskeletal (MSK) pain is a leading contributor to disability and service demand in primary healthcare (PHC), particularly in socioeconomically disadvantaged communities. Contemporary responses increasingly emphasise people-centred, multimodal and non-pharmacological approaches. However, in practice, service integration is often limited to co-location, with insufficient clarity regarding how collaboration and integration are operationalised within private, fee-for-service PHC environments.Methods  This qualitative study explored how 22 health professionals working within a large-scale, proximity-based primary healthcare precinct in Australia defined and experienced service integration for MSK pain management. Semi-structured interviews were conducted across two timepoints (2021 and 2023) and analysed using reflexive thematic analysis, informed by implementation and people-centred care principles.Results  Three interdependent enablers of integration were identified: (1) Relationships, enabled by physical proximity, including shared philosophy and respect for professional roles; (2) Communication, characterised by knowledge exchange, forward momentum and shared processes; and (3) Consumer-centred access, via availability of affordable and needed services. Integration was experienced as a continuum, ranging from parallel multidisciplinary practice to higher-order interdisciplinary collaboration involving shared processes and collective responsibility for consumer outcomes.Conclusion  Within this site-specific context, physical proximity acted as a necessary but insufficient condition for effective integration. Higher levels of interdisciplinary practice emerged only when proximity was combined with shared values, effective communication and coordinated consumer flow. These findings provide a base for how proximity-based primary healthcare environments can operationalise people-centred integration and can inform scalable models of MSK care in private PHC settings.
SN  - 1478-2189
SN  - 1557-0681
ER  -