背景和目的：尽管缺乏经过证实的疗效，阿片类药物历来被用于治疗非癌症背痛。随着时间的推移，各种其他有效的疼痛管理治疗选择也变得越来越可用。 2016 年，俄勒冈州实施了一项独特而新颖的政策，以改善基于证据的背痛护理，并通过该州的医疗补助计划（俄勒冈州健康计划）促进更安全、更有效的阿片类药物处方。本文探讨了医疗服务提供者在 COVID-19 背景下适应为背痛患者提供护理的方式，并更好地了解医疗服务提供者面临的挑战和做出的调整。方法：我们与临床医生和身体疼痛治疗方式从业者 (PPTMP) 进行了焦点小组讨论。总共有 129 名提供者参加了六个焦点小组之一，其中包括 74 名临床医生 (54%) 和 55 名 PPTMP (42%)。反思性主题分析用于构建跨数据的主题或意义单位。结果：焦点小组揭示了对个人防护装备短缺、远程医疗挑战、沟通障碍以及针对 COVID-19 的专业应对措施的担忧，这些都阻碍了患者护理和转诊。焦点小组还强调了与增强对患者生活的洞察力相关的一些优势，从而增强了治疗效果。 COVID-19 期间的护理引起了患者对远程医疗和远程医疗的持续兴趣。结论：针对背痛等健康状况优化这些技术的使用，增加了患者的治疗选择，并使提供者能够更全面地了解患者的生活、他们可能面临的挑战以及这如何影响他们的治疗。

Background and Purpose: Despite the lack of proven efficacy, opioids historically have been used for the treatment of noncancer back pain. A variety of other effective therapeutic options for pain management are becoming more available over time. In 2016, Oregon implemented a unique and novel policy to improve evidence-based back pain care and promote safer and more effective opioid prescribing through the state's Medicaid program, the Oregon Health Plan. This article examines the ways providers adapted to providing care for patients with back pain in the context of COVID-19 and to better understand the challenges faced by and adaptations made by providers. Methods: We conducted focus groups with clinicians and physical pain treatment modality practitioners (PPTMPs). In total, 129 providers participated in one of six focus groups, including 74 clinicians (54%) and 55 PPTMPs (42%). Reflexive thematic analysis was used to construct themes or units of meaning across data. Results: Focus groups revealed concerns about PPE shortages, telemedicine challenges, communication barriers, and profession-specific responses to COVID-19, which hindered patient care and referrals. Focus groups also highlighted some advantages related to increased insight into patients' lives, which enhanced treatment. Care during COVID-19 has resulted in continued patient interest in telehealth and telemedicine. Conclusion: Optimizing use of these technologies for health conditions, such as back pain, adds to treatment options for patients and gives providers a more holistic understanding of patients' lives, the challenges they may face, and how that impacts their treatment.