A Secondary Analysis of Integrated Pediatric Chronic Pain Services Related to Cost Savings
| Autor: | Margaret J. Klein, Tiffany K. Torigoe-Lai, Nicole E. Mahrer, Jeffrey I. Gold |
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| Rok vydání: | 2020 |
| Předmět: |
050103 clinical psychology
medicine.medical_specialty Massage business.industry medicine.medical_treatment 05 social sciences Chronic pain Emergency department medicine.disease Biofeedback Integrated care 03 medical and health sciences Clinical Psychology Health psychology 0302 clinical medicine Physical therapy Acupuncture Medicine 0501 psychology and cognitive sciences 030212 general & internal medicine Integrative medicine business health care economics and organizations |
| Zdroj: | Journal of Clinical Psychology in Medical Settings. 28:374-383 |
| ISSN: | 1573-3572 1068-9583 |
| Popis: | Youth with chronic pain have high healthcare utilization and associated costs. Research supports integrated treatment; though, it’s unclear which treatments are used and cost-effective. This study expands on work that found reduced service use and cost savings following participation in an outpatient integrated pediatric pain clinic. We explored which services were commonly used and which individual (psychotherapy, medication management, acupuncture, massage, biofeedback) and/or combinations of services were associated with service use reduction and cost savings. Medication management and psychotherapy were more common than complementary integrative medicine (CIM) services. Massage services were associated with reduced inpatient costs. There were trends of fewer emergency department visits for participants who received CIM services in addition to medication management and psychotherapy, and more visits for those with biofeedback. Findings suggest that a more detailed examination of service utilization is needed to better understand cost outcomes related to the integrated treatment of pediatric chronic pain. |
| Databáze: | OpenAIRE |
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