Healthcare professionals' perceptions of challenges to chronic pain management
| Autor: | Cate Polacek, Michelle Mann, Terri Craig, Margarita Udall, Michael C. Deminski, Nila Sathe, Roni Christopher |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Chronic condition Attitude of Health Personnel MEDLINE Context (language use) Patient satisfaction Nursing Medicine Humans Pain Management Practice Patterns Physicians' Qualitative Research Physician-Patient Relations business.industry Health Policy Chronic pain Middle Aged medicine.disease Patient Satisfaction Female Thematic analysis Chronic Pain business Psychosocial Qualitative research |
| Zdroj: | The American journal of managed care. 26(4) |
| ISSN: | 1936-2692 |
| Popis: | Objectives To explore healthcare professionals' perceptions of challenges to chronic pain management. Study design Qualitative interview study. Methods Semistructured telephone interviews with healthcare professionals involved in chronic pain management and thematic analysis of transcriptions. Results Respondents (N = 16) described multiple challenges to chronic pain management: Management occurs in a complex care context complicated by the multidimensional, subjective nature of pain. A lack of systematic approaches fosters variation in care, and clinicians lack time and resources to manage pain holistically. Efforts to date have focused primarily on opioid reduction versus strategic approaches to manage chronic pain across the system. Conclusions Comprehensive approaches to identify and manage chronic pain are nascent and, typically, narrowly focused on reducing opioid use. Respondents, however, recognized the importance of effective systematic management across inpatient and outpatient settings. These findings underscore the need to consider chronic pain as a chronic condition that warrants coordinated approaches to care such as standardized assessments; consistent, patient-centered outcome measures; and multimodal treatments that target both physical relief and underlying psychosocial factors. |
| Databáze: | OpenAIRE |
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