Pain Management Electronic Calendar: Phase 1

描述（由申请人提供）：本提案的目的是开发和评估一个电子疼痛软件程序的原型，该程序将分发给医生，供患者监测慢性疼痛、症状和治疗。一个附带的原型网站将提供可定制的报告样本和关于疼痛管理的患者教育页面。慢性疼痛及相关症状折磨着三分之一的美国人（超过8000万人）。慢性疼痛占急诊室就诊人数的21%，占每年缺勤工作日的25%，造成的经济负担比任何其他疾病都要大，估计每年的成本高达1000亿美元。疼痛是求医的首要症状。然而，对症状的误解、缺乏适当的治疗指南以及有限的护理连续性导致患者和医生对护理感到沮丧。该原型软件的目标包括：1)基于Jamison博士和NERI的电子软件和疼痛管理经验，为原型日记和网站开发临床内容；2)将临床内容编程成日历格式，使用下拉屏幕和图标，方便日常数据录入；3)通过外部评估和与诊所志愿者纸质日记的对比，对原型软件进行测试和评估。

DESCRIPTION (provided by applicant): The objective of this proposal is to develop and evaluate a prototype of an electronic pain software program to be distributed to physicians for patients to monitor chronic pain, symptoms and treatments. An accompanying prototype website will provide samples of customizable reports and patient education pages on pain management. Chronic pain and related symptoms afflict a third of the American population (over 80 million people). Chronic pain accounts for 21% of emergency room visits, 25% of annual missed workdays, and imposes a greater economic burden than any other disease with estimated annual costs of up to $100 billion. Pain is the primary symptom for seeking medical care. However, misunderstanding symptoms, lack of adequate treatment guidelines, and limited continuity of care result in patient and physician frustration with care. Objectives of this prototype software include: 1) Develop clinical content for the prototype diary and website based on Dr. Jamison's and NERI's electronic software and pain management experience; 2) Program the clinical content into a calendar format for easy daily entry of data with the use of pull-down screens and icons; 3) Test and evaluate the prototype software through external evaluation and comparison with a paper diary using volunteer clinic patients.