Pain treatment facilities: do we need quantity or quality?

2014 ◽  
Vol 20 (5) ◽  
pp. 578-581 ◽  
Author(s):  
Nelleke de Meij ◽  
Albère Köke ◽  
Trudy van der Weijden ◽  
Maarten van Kleef ◽  
Jacob Patijn
Keyword(s):  
Pain Treatment ◽  
Treatment Facilities

scholarly journals Accessing care in multidisciplinary pain treatment facilities continues to be a challenge in Canada

2020 ◽  
Vol 45 (12) ◽  
pp. 943-948
Author(s):  
Manon Choinière ◽  
Philip Peng ◽  
Ian Gilron ◽  
Norman Buckley ◽  
Owen Williamson ◽  
...  
Keyword(s):  
Prince Edward Island ◽  
Pain Treatment ◽  
Wait Time ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
Online Questionnaire ◽  
Optimal Care ◽  
Cross Sectional ◽  
Treatment Facilities ◽  
Multidisciplinary Pain Treatment

BackgroundMultidisciplinary pain treatment facilities (MPTFs) are considered the optimal settings for the management of chronic pain (CP). This study aimed (1) to determine the distribution of MPTFs across Canada, (2) to document time to access and types of services, and (3) to compare the results to those obtained in 2005–2006.MethodsThis cross-sectional study used the same MPTF definition as in 2005–2006—that is, a clinic staffed with professionals from a minimum of three different disciplines (including at least one medical specialty) and whose services were integrated within the facility. A comprehensive search strategy was used to identify existing MPTFs across Canada. Administrative leads at each MPTF were invited to complete an online questionnaire regarding their facilities.ResultsQuestionnaires were completed by 104 MPTFs (response rate 79.4%). Few changes were observed in the distribution of MPTFs across Canada compared with 12 years ago. Most (91.3%) are concentrated in large urban cities. Prince Edward Island and the Territories still lack MPTFs. The number of pediatric-only MPTFs has nearly doubled but remains small (n=9). The median wait time for a first appointment in publicly funded MPTFs is about the same as 12 years ago (5.5 vs 6 months). Small but positive changes were also observed.ConclusionAccessibility to public MPTFs continues to be limited in Canada, resulting in lengthy wait times for a first appointment. Community-based MPTFs and virtual care initiatives to distribute pain services into regional and remote communities are needed to provide patients with CP with optimal care.

scholarly journals Challenges in accessing multidisciplinary pain treatment facilities in Canada

2007 ◽  
Vol 54 (12) ◽  
pp. 977-984 ◽  
Author(s):  
Philip Peng ◽  
Manon Choiniere ◽  
Dominique Dion ◽  
Howard Intrater ◽  
Sandra LeFort ◽  
...  
Keyword(s):  
Pain Treatment ◽  
Treatment Facilities ◽  
Multidisciplinary Pain Treatment

scholarly journals Systematic Review of Multidisciplinary Chronic Pain Treatment Facilities

2016 ◽  
Vol 2016 ◽  
pp. 1-19 ◽  
Author(s):  
Samantha R. Fashler ◽  
Lynn K. Cooper ◽  
Eric D. Oosenbrug ◽  
Lindsay C. Burns ◽  
Shima Razavi ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Treatment ◽  
Wait Times ◽  
Original Research ◽  
Inclusion Criteria ◽  
Treatment Facility ◽  
Research Survey ◽  
Wide Range ◽  
Treatment Facilities ◽  
Chronic Pain Treatment

This study reviewed the published literature evaluating multidisciplinary chronic pain treatment facilities to provide an overview of their availability, caseload, wait times, and facility characteristics. A systematic literature review was conducted using PRISMA guidelines following a search of MEDLINE, PsycINFO, and CINAHL databases. Inclusion criteria stipulated that studies be original research, survey more than one pain treatment facility directly, and describe a range of available treatments. Fourteen articles satisfied inclusion criteria. Results showed little consistency in the research design used to describe pain treatment facilities. Availability of pain treatment facilities was scarce and the reported caseloads and wait times were generally high. A wide range of medical, physical, and psychological pain treatments were available. Most studies reported findings on the percentage of practitioners in different health care professions employed. Future studies should consider using more comprehensive search strategies to survey facilities, improving clarity on what is considered to be a pain treatment facility, and reporting on a consistent set of variables to provide a clear summary of the status of pain treatment facilities. This review highlights important information for policymakers on the scope, demand, and accessibility of pain treatment facilities.

First Dutch Consensus of Pain Quality Indicators for Pain Treatment Facilities

Pain Practice ◽  
2015 ◽  
Vol 16 (1) ◽  
pp. 57-66 ◽  
Author(s):  
Nelleke de Meij ◽  
Marloes van Grotel ◽  
Jacob Patijn ◽  
Trudy van der Weijden ◽  
Maarten van Kleef
Keyword(s):  
Quality Indicators ◽  
Pain Treatment ◽  
Treatment Facilities

Pain Treatment Facilities Referral Selection Criteria

1995 ◽  
Vol 11 (2) ◽  
pp. 156 ◽  
Author(s):  
David A. Fishbain ◽  
H. L. Rosomoff ◽  
Renee Steele-Rosomoff ◽  
R. B. Cutler
Keyword(s):  
Selection Criteria ◽  
Pain Treatment ◽  
Treatment Facilities

scholarly journals Management of chronic pain

1997 ◽  
Vol 3 (2) ◽  
pp. 86-93 ◽  
Author(s):  
Stephen P. Tyrer
Keyword(s):  
Chronic Pain ◽  
Acute Treatment ◽  
Pain Treatment ◽  
Medical Condition ◽  
Washington State ◽  
Pain Clinic ◽  
Pain Clinics ◽  
The Usa ◽  
Treatment Facilities ◽  
The Many

Until 50 years ago chronic pain was not considered to be a medical condition that required special evaluation and treatment facilities. Pain was considered to be an indicator of tissue damage and appropriate medical or surgical treatment was prescribed for this. The many patients who had continuing pain because of the results of disease or trauma or because acute treatment was unable to relieve the condition were not seen as suffering from a recognised pathological entity. It was not until a doctor, Sicilian-born John J. Bonica, had to pay his debts as a medical student through wrestling professionally, and later suffered persistent pain as a result, that chronic pain became a recognised condition in its own right. Bonica started a pain clinic in Tacoma, Washington State, in 1949 and wrote the first textbook on pain treatment, The Management of Pain, in 1953. There are now 2000–3000 pain clinics in the USA and almost 5000 worldwide.

scholarly journals The Canadian STOP-PAIN project – Part 2: What is the cost of pain for patients on waitlists of multidisciplinary pain treatment facilities?

2010 ◽  
Vol 57 (6) ◽  
pp. 549-558 ◽  
Author(s):  
Denise N. Guerriere ◽  
Manon Choinière ◽  
Dominique Dion ◽  
Philip Peng ◽  
Emma Stafford-Coyte ◽  
...  
Keyword(s):  
Pain Treatment ◽  
Treatment Facilities ◽  
Multidisciplinary Pain Treatment ◽  
The Cost

scholarly journals Role of Health Care Professionals in Multidisciplinary Pain Treatment Facilities in Canada

2008 ◽  
Vol 13 (6) ◽  
pp. 484-488 ◽  
Author(s):  
Philip Peng ◽  
Jennifer N Stinson ◽  
Manon Choiniere ◽  
Dominique Dion ◽  
Howard Intrater ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Health Care Professionals ◽  
Pain Treatment ◽  
Medical Specialty ◽  
Full Time ◽  
Patient Assessment ◽  
Treatment Facilities ◽  
Multidisciplinary Pain Treatment

PURPOSE: To examine the role of health care professionals in multidisciplinary pain treatment facilities (MPTF) for the treatment of chronic pain across Canada.METHODS: MPTF were defined as clinics that advertised specialized multidisciplinary services for the diagnosis and management of chronic pain, and had staff from a minimum of three different health care disciplines (including at least one medical specialty) available and integrated within the facility. Administrative leaders at eligible MPTF were asked to complete a detailed questionnaire on their infrastructure as well as clinical, research, teaching and administrative activities.RESULTS: A total of 102 MPTF returned the questionnaires. General practitioners, anesthesiologists and physiatrists were the most common types of physicians integrated in the MPTF (56%, 51% and 32%, respectively). Physiotherapists, psychologists and nurses were the most common nonphysician professionals working within these MPTF (75%, 68% and 57%, respectively), but 33% to 56% of them were part-time staff. Only 77% of the MPTF held regular interdisciplinary meetings to discuss patient management, and 32% were staffed with either a psychologist or psychiatrist. The three most frequent services provided by physiotherapists were patient assessment, individual physiotherapy or exercise, and transcutaneous electrical nerve stimulation. The three most common services provided by psychologists were individual counselling, cognitive behavioural therapy and psychodynamic therapy. The major roles of nurses were patient assessment, assisting in interventional procedures and patient education.CONCLUSION: Different health care professionals play a variety of important roles in MPTF in Canada. However, few of them are involved on a full-time basis and the extent to which pain is assessed and treated in a truly multidisciplinary manner is questionable.

Sign in / Sign up

Export Citation Format

Share Document