An examination of referrals declined for chronic pain care: There is increasing mental health complexity within care-seeking patients with chronic pain over time

Autor: Rachael Bosma, Brittany N. Rosenbloom, Emeralda Burke, Christian Aquino, Cara Stanley, Kimberly Coombs, Adriano Nella, Shamalla James, Hance Clarke, David Flamer, Anuj Bhatia, John Flannery, Andrew Smith, Tania Di Renna
Jazyk: English<br />French
Rok vydání: 2024
Předmět:
Zdroj: Canadian Journal of Pain, Vol 8, Iss 1 (2024)
Druh dokumentu: article
ISSN: 24740527
2474-0527
DOI: 10.1080/24740527.2024.2337074
Popis: Background Chronic pain is a complex disease that requires interprofessional care for effective management. Despite the need for multidisciplinary care, disease and health care inequities can prevent individuals from attaining adequate treatment. Factors such as mental health, cost, and distance to a health care center can contribute to health care accessibility inequality. The aim of this study is to examine declined referrals at the Toronto Academic Pain Medicine Institute (TAPMI) to determine the reason for declining care and number of declined referrals.Methods A retrospective chart review of all declined referrals at TAPMI in 2018 and 2022 was conducted. Referral documentation and the intake decision were extracted from the electronic medical charts by the research team and verified by the clinical intake team. Chi-square tests were conducted to determine whether the proportion of declined referrals changed between the years reviewed.Results The number of declined referrals due to mental health complexities increased significantly from 51 (11%) in 2018 to 180 (18%) in 2022 (χ2 = 10.9, P = 0.0009). A significant rise in the number of declines due to mental health service requests was also observed (χ2 = 24.53, P
Databáze: Directory of Open Access Journals
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje