scholarly journals Project ECHO Telementoring Intervention for Managing Chronic Pain in Primary Care: Insights from a Qualitative Study

Pain Medicine ◽  
2017 ◽  
Vol 19 (6) ◽  
pp. 1140-1146 ◽  
Author(s):  
Leslie Carlin ◽  
Jane Zhao ◽  
Ruth Dubin ◽  
Paul Taenzer ◽  
Hannah Sidrak ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Qualitative Study ◽  
Project Echo

scholarly journals Exploring perceptions and experiences of patients who have chronic pain as state prescription opioid policies change: a qualitative study in Indiana

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e015083 ◽  
Author(s):  
Morhaf Al Achkar ◽  
Debra Revere ◽  
Barbara Dennis ◽  
Palmer MacKie ◽  
Sumedha Gupta ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Pain Management ◽  
Qualitative Study ◽  
Inappropriate Prescribing ◽  
Primary Care Providers ◽  
Pain Clinic ◽  
Care Providers ◽  
Opioid Prescription ◽  
The Impact

ObjectivesThe misuse and abuse of prescription opioids (POs) is an epidemic in the USA today. Many states have implemented legislation to curb the use of POs resulting from inappropriate prescribing. Indiana legislated opioid prescribing rules that went into effect in December 2013. The rules changed how chronic pain is managed by healthcare providers. This qualitative study aims to evaluate the impact of Indiana’s opioid prescription legislation on the patient experiences around pain management.SettingThis is a qualitative study using interviews of patient and primary care providers to obtain triangulated data sources. The patients were recruited from an integrated pain clinic to which chronic pain patients were referred from federally qualified health clinics (FQHCs). The primacy care providers were recruited from the same FQHCs. The study used inductive, emergent thematic analysis.ParticipantsNine patient participants and five primary care providers were included in the study.ResultsLiving with chronic pain is disruptive to patients’ lives on multiple dimensions. The established pain management practices were disrupted by the change in prescription rules. Patient–provider relationships, which involve power dynamics and decision making, shifted significantly in parallel to the rule change.ConclusionsAs a result of the changes in pain management practice, some patients experienced significant challenges. Further studies into the magnitude of this change are necessary. In addition, exploring methods for regulating prescribing while assuring adequate access to pain management is crucial.

scholarly journals Barriers and Facilitators to Chronic Pain Self-Management: A Qualitative Study of Primary Care Patients with Comorbid Musculoskeletal Pain and Depression

Pain Medicine ◽  
2009 ◽  
Vol 10 (7) ◽  
pp. 1280-1290 ◽  
Author(s):  
Matthew J. Bair ◽  
Marianne S. Matthias ◽  
Kathryn A. Nyland ◽  
Monica A. Huffman ◽  
DaWana L. Stubbs ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Qualitative Study ◽  
Musculoskeletal Pain ◽  
Barriers And Facilitators ◽  
Self Management ◽  
Primary Care Patients

scholarly journals Decision support for chronic pain care: how do primary care physicians decide when to prescribe opioids? a qualitative study

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Christopher A Harle ◽  
Sarah E Bauer ◽  
Huong Q Hoang ◽  
Robert L Cook ◽  
Robert W Hurley ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Decision Support ◽  
Qualitative Study ◽  
Primary Care Physicians ◽  
Pain Care
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