How well is chronic pain managed? Who does it well?
How well is chronic pain managed? Who does it well?
复制标题
DOI：
10.1046/j.1526-4637.2002.02003.x
复制
发表时间：
2002-03-01
期刊：
影响因子：
3.1
通讯作者：
Guerrero, E
中科院分区：
文献类型：
--
作者：
Green, CR;Wheeler, JRC;Guerrero, E
背景：医生对慢性疼痛缓解和慢性疼痛管理满意度的态度和目标的差异是未知的。提供密歇根州医生慢性疼痛管理状况的定量数据。将医生的疼痛管理目标与医生的信心、偏好和对慢性疼痛护理的满意度联系起来。研究设计。一项前瞻性队列研究，利用对四名慢性疼痛患者的调查。368名密歇根医生提供临床护理。评估基于医师人口学特征、知识和态度的慢性疼痛决策的差异。受访者报告了治疗慢性疼痛患者的频率很高。然而，许多人对他们治疗慢性疼痛的满意度和信心普遍较低，缓解慢性疼痛的目标也较低。大量的受访者选择了最差或较差的治疗方案的慢性疼痛小插曲。特别是，阿片类镇痛药的处方很少。年轻的医生和接受过疼痛教育的医生更有可能选择对小片段的最佳反应。较低的疼痛缓解目标和对慢性疼痛管理的满意度表明其治疗不足的潜力。我们的数据突出了疼痛决策的可变性，并提供了关于慢性疼痛管理的医生教育需求的见解。
Background The variability in physician attitudes and goals for chronic pain relief and satisfaction with chronic pain management is unknown.Objectives. To provide quantitative data regarding the status of chronic pain management by Michigan physicians. To relate physician's goals for pain management to physician confidence, preferences, and satisfaction with their chronic pain care.Research Design. A prospective cohort study utilizing a survey with four chronic pain vignettes.Subjects. Three hundred and sixty-eight Michigan physicians who provide clinical care.Measures. Evaluate differences in chronic pain decision making based upon physician demographic characteristics, knowledge, and attitudes.Results. The respondents reported a high frequency of treating patients with chronic pain. However, many expressed generally low satisfaction and confidence in their treatment of chronic pain, as well as low goals for the relief of chronic pain. A large number of respondents selected the worst or a poor treatment option for the chronic pain vignettes. In particular, prescriptions of opioid analgesics were infrequent. Younger physicians and those with pain education were more likely to choose the best responses to the vignettes.Conclusion. Low pain relief goals and satisfaction with the management of chronic pain suggests the potential for its undertreatment. Our data highlight the variability in pain decision making and provide insight into the educational needs of physicians regarding chronic pain management.