Aches and pains in primary care: stay positive but critical

Croft, Peter

doi:10.3399/bjgp10x482301

Cited by 1 publication

(1 citation statement)

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“…It is well documented that pain is second only to respiratory symptoms as the primary reason for patients to visit their doctor. 11 Patients suffering from chronic pain are often referred to various specialists and some to pain clinics. These clinics, in Israel and throughout the world, may have waiting lists of many months.…”

Section: Introductionmentioning

confidence: 99%

Pain Medicine in Crisis—A Possible Model toward a Solution: Empowering Community Medicine to Treat Chronic Pain

Minerbi¹,

Vulfsons²

2013

Rambam Maimonides Med J

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Pain medicine in Israel and in the world has reached a crisis. The lack of available pain medicine services is resulting in the unsatisfactory treatment for chronic pain sufferers. The main causes of this crisis are: 1) the high prevalence of chronic pain, reaching levels of 17% in the adult population;2) the lack of appropriate training of primary care physicians in the field of chronic pain management; and 3) the paucity of consultation services in the field of chronic pain. In this journal article, we propose a possible model for the solution of the problem, based upon levels of treatment according to the severity of the disease and upon training of primary and secondary care physicians in the treatment of pain. According to the model, the vast majority of treatment and management will take place in the community after appropriate training of primary care physicians. More complex cases will be referred to secondary care community-based pain clinics manned by physicians with further in-depth training. Only the most complex of patients, or those needing specialized treatment such as invasive analgesic therapy, will be referred to tertiary pain centers manned by specialists in pain medicine. Implementation of this model will necessitate training of primary care physicians and the establishment of secondary care facilities and can, in our opinion, pose a pragmatic solution for the hundreds of thousands of patients suffering from chronic pain.

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Section: Introductionmentioning

confidence: 99%