Redesigning Delivery of Opioids to Optimize Pain Management, Improve Outcomes, and Contain Costs

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 Wash...

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Bibliographic Details
Published in:Pain medicine (Malden, Mass.) Mass.), 2013-01, Vol.14 (1), p.36-42
Main Authors: Cahana, Alex, Dansie, Elizabeth J., Theodore, Brian R., Wilson, Hilary D., Turk, Dennis C.
Format: Article
Language:English
Subjects:
Accountable Care
Analgesics, Opioid - economics
Analgesics, Opioid - therapeutic use
Care Models
Coordinated Care
Cost Control - methods
Economics
Guidelines
Health Care Costs - statistics & numerical data
Humans
Narcotics
Pain
Pain Management
Pain Management - economics
Pain Management - methods
Patient Assessment
Patient Care Team - economics
Patient Care Team - organization & administration
Public health
Quality Improvement - economics
Quality Improvement - organization & administration
Risk reduction
Telehealth
Washington
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Summary: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.
ISSN:1526-2375
1526-4637
DOI:10.1111/pme.12013