Triage processes at multidisciplinary chronic pain clinics: An international review of current procedures
| Autor: | M. Gabrielle Pagé, Daniel Ziemianski, Yoram Shir |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Referral Multidisciplinary Pain Clinics 03 medical and health sciences multidisciplinary pain clinic 0302 clinical medicine Multidisciplinary approach Medicine 030212 general & internal medicine Intensive care medicine business.industry 030503 health policy & services Gold standard Chronic pain Original Articles medicine.disease Triage Anesthesiology and Pain Medicine Emergency medicine referral 0305 other medical science business triage chronic pain best practice guidelines Research Article |
| Zdroj: | Canadian Journal of Pain article-version (VoR) Version of Record |
| ISSN: | 2474-0527 |
| Popis: | Background: Multidisciplinary pain clinics are considered the gold standard for the treatment of chronic pain, yet access to such clinics is difficult and patients’ conditions deteriorate while waiting. Instituting a triage process is one way of reducing wait time for some patients and ensuring optimal access given the limited resources available. Surprisingly, there are no established guidelines on how to optimally triage chronic pain patients at tertiary multidisciplinary pain clinics. Aims: The goal of this study was to gather information regarding existing triage systems in multidisciplinary chronic pain clinics worldwide as an initial step toward establishing a definitive evidence-based set of triage guidelines. Methods: A total of 66 multidisciplinary pain clinics worldwide completed an online survey detailing current triage practices at their clinic. The survey was distributed via international and national pain associations. Results: Results showed that the vast majority of multidisciplinary pain clinics (94%) use a triage system, yet many difficulties with these systems have been identified (time requirement, administrative burden, lack of control over scheduling, missing high-priority patients, and prioritizing low-priority patients). The level of satisfaction was noted to be higher in those clinics using a structured triage template. Conclusions: This study identified a need for the elaboration of best practice clinical guidelines for triage processes at tertiary pain clinics. The use of a structured referral template could become a central element to such guidelines. |
| Databáze: | OpenAIRE |
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