Biopsychosocial Approach to Assessing and Managing Patients with Chronic Pain
Biopsychosocial Approach to Assessing and Managing Patients with Chronic Pain
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DOI：
10.1016/j.mcna.2015.08.007
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发表时间：
2016-01-01
影响因子：
5.9
通讯作者：
Cheatle, Martin D.
中科院分区：
文献类型：
--
作者：
Cheatle, Martin D.
慢性疼痛影响着近三分之一的美国人口。慢性疼痛会导致疼痛患者出现各种问题，包括出现继发性医疗问题、抑郁症、功能和职业残疾、阿片类药物滥用和自杀。目前的疼痛护理模式在提供必要的综合方法方面存在缺陷。大多数慢性疼痛患者由初级保健临床医生管理，他们通常没有准备好有效和高效地管理这些病例。一种评估和治疗慢性疼痛的生物-心理-社会方法在临床和经济上都是有效的，但需要独特的递送系统来应对获得特殊护理的挑战。
Chronic pain affects nearly one-third of the American population. Chronic pain can lead to a variety of problems for a pain sufferer, including developing secondary medical problems, depression, functional and vocational disability, opioid abuse, and suicide. Current pain care models are deficient in providing a necessary comprehensive approach. Most patients with chronic pain are managed by primary care clinicians who are typically ill prepared to effectively and efficiently manage these cases. A biopsychosocial approach to evaluate and treat chronic pain is clinically and economically efficacious, but unique delivery systems are required to meet the challenge of access to specialty care.