Barriers to Outpatient Pediatric Chronic Pain Clinic Participation Among Referred Patients

Abstract

Initial clinic evaluation among referred patients and factors limiting treatment initiation are not well characterized. We conducted a retrospective review of referrals to our outpatient pain clinic to identify intake visits and factors associated with treatment initiation among adolescents with chronic pain. We identified adolescents aged 13 to 18 years at the time of referral to clinic (2010-2016). Factors associated with completion of visits were evaluated using logistic regression. Patients who completed visits more frequently had private insurance than public or no insurance ( P = .053). The most common reasons for caregiver decision not to attend the pain clinic included use of another pain clinic, that services were not wanted or no longer needed, and that their child was undergoing further testing. The current study demonstrated that patients with head pain were more likely to complete an intake visit, while there was a trend showing that lack of private insurance decreased this likelihood.

The effect of the humanistic care teaching model on nurse patient conflict and nurse turnover intention in a pediatric outpatient department: results of a randomized trial

“…Those who had worked in pediatric practice for more than 6 years were selected to teach clinical theoretical knowledge on pediatrics through courseware, conduct training on clinical practice skills, organize nurses to watch videos, perform demonstrations, and explain the operation essentials. In addition, the teachers also shouldered the responsibility to carry out related practice and provide explanations and demonstrations targeted at practice content with high error rates (9,10).…”

Attrition from Face-to-Face Pediatric Outpatient Chronic Pain Interventions: A Narrative Review and Theoretical Model

“…There is variability in the amount of information reported in manuscripts regarding attrition from interventions, with details such as timing and reasons for attrition not always reported. Moreover, attrition data generally do not incorporate the considerable number of additional patients who are referred to, or enrolled in, an intervention but who do not attend the initial assessment [97]. A greater uniformity of attrition definitions is necessary and reporting should include details of the time points and reasons of attrition.…”