Redesigning Delivery of Opioids to Optimize Pain Management, Improve Outcomes, and Contain Costs
Redesigning Delivery of Opioids to Optimize Pain Management, Improve Outcomes, and Contain Costs
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DOI：
10.1111/pme.12013
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发表时间：
2013-01-01
期刊：
影响因子：
3.1
通讯作者：
Turk, Dennis C.
中科院分区：
文献类型：
--
作者：
Cahana, Alex;Dansie, Elizabeth J.;Turk, Dennis C.
慢性疼痛是一个公共卫生问题，在过去十年中，处方阿片类药物用于慢性非癌症疼痛的使用和滥用急剧增加。方法：我们概述了华盛顿大学疼痛医学部门实施的疼痛管理的五组分模型，旨在促进最近的国家指南，以减少与长期使用处方阿片类药物相关的风险。该模型描述的核心是最佳临床实践指南、协作护理方法、远程医疗解决方案、综合处方监测和基于测量的护理。提出的模型是一个以患者为中心，高效，经济的方法来管理慢性疼痛。
Introduction Chronic pain is a public health concern, and in the last decade, there has been a dramatic increase in the use and abuse of prescription opioids for chronic non-cancer pain. Methods We present an overview of a five-component model of pain management implemented at the University of Washington Division of Pain Medicine designed to facilitate recent state guidelines to reduce the risks associated with long-term use of prescription opioids. Results Central to the model described are guidelines for best clinical practice, a collaborative care approach, telehealth solutions, comprehensive prescription-monitoring, and measurement-based care. Discussion The model presented is a patient-centered, efficient, and cost-effective approach to the management of chronic pain.