A primary care-based interdisciplinary team approach to the treatment of chronic pain utilizing a pragmatic clinical trials framework.
A primary care-based interdisciplinary team approach to the treatment of chronic pain utilizing a pragmatic clinical trials framework.
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DOI：
10.1007/s13142-012-0163-2
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发表时间：
2012-12-01
影响因子：
3.6
通讯作者：
Feldstein, Adrianne
中科院分区：
文献类型：
--
作者：
DeBar, Lynn L.;Kindler, Lindsay;Keefe, Francis J.;Green, Carla A.;Smith, David H.;Deyo, Richard A.;Ames, Katharine;Feldstein, Adrianne
关键词：
慢性疼痛影响着美国至少1.16亿成年人，并造成巨大的痛苦和生产力损失。虽然卫生系统提供专门的疼痛服务，但初级保健环境是大多数患者寻求和接受疼痛护理的地方。由跨学科团队(包括行为专家、护士病例经理、理疗师和药剂师)对慢性疼痛进行基于初级保健的治疗是改善结果和管理成本的最有效方法之一。为了确保将这些服务有力地整合到可持续的医疗保健计划中，评估必须由精通临床试验、混合方法和实施研究、生物信息学、卫生服务和成本效益等方法论的研究人员进行。最近国家卫生政策的变化，除了越来越多地认识到慢性疼痛的高患病率和高成本，为改变慢性疼痛患者的护理模式提供了一个独特的机会。
Chronic pain affects at least 116 million adults in the USA and exacts a tremendous cost in suffering and lost productivity. While health systems offer specialized pain services, the primary care setting is where most patients seek and receive care for pain. Primary care-based treatment of chronic pain by interdisciplinary teams (including behavioral specialists, nurse case managers, physical therapists, and pharmacists) is one of the most effective approaches for improving outcomes and managing costs. To ensure robust integration of such services into sustainable health-care programs, evaluations must be conducted by researchers well versed in the methodologies of clinical trials, mixed methods and implementation research, bioinformatics, health services, and cost-effectiveness. Recent national health policy changes, in addition to the increasing recognition of the high prevalence and cost of chronic pain conditions, present a unique opportunity to shift the care paradigm for patients with chronic pain.
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影响因子：
3.8
作者：
Glasgow, RE;Klesges, LM;Estabrooks, P
通讯作者：
Estabrooks, P
影响因子：
7.4
作者：
Caudill-Slosberg, MA;Schwartz, LM;Woloshin, S
通讯作者：
Woloshin, S
影响因子：
3.6
作者：
Cheatle, Martin D.;Klocek, John W.;McLellan, A. Thomas
通讯作者：
McLellan, A. Thomas
影响因子：
4.2
作者：
Davis, PE;Liddiard, H;McMillan, TM
通讯作者：
McMillan, TM
DOI：
10.1111/j.1526-4637.2009.00707.x
发表时间：
2009-10
期刊：
Pain medicine (Malden, Mass.)
影响因子：
--
作者：
Bair MJ;Matthias MS;Nyland KA;Huffman MA;Stubbs DL;Kroenke K;Damush TM
通讯作者：
Damush TM