scholarly journals Factors associated with waiting times for persons with rheumatic conditions in multidisciplinary pain treatment facilities

2019 ◽  
Vol Volume 12 ◽  
pp. 2379-2390
Author(s):  
Simon Deslauriers ◽  
Jean-Sébastien Roy ◽  
Sasha Bernatsky ◽  
Debbie E. Feldman ◽  
Anne Marie Pinard ◽  
...  
Keyword(s):  
Pain Treatment ◽  
Waiting Times ◽  
Factors Associated ◽  
Treatment Facilities ◽  
Rheumatic Conditions ◽  
Multidisciplinary Pain Treatment

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 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.

scholarly journals ‘A lifebuoy’ and ‘a waste of time’: patients’ varying experiences of multidisciplinary pain centre treatment- a qualitative study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Torunn Hatlen Nøst ◽  
Aslak Steinsbekk
Keyword(s):  
Chronic Pain ◽  
Qualitative Study ◽  
Multidisciplinary Approach ◽  
Pain Treatment ◽  
Multidisciplinary Treatment ◽  
Individual Interviews ◽  
Multidisciplinary Assessment ◽  
Pain Centre ◽  
Treatment Facilities ◽  
Multidisciplinary Pain Treatment

Abstract Background The recognition of chronic pain as a biopsychosocial phenomenon has led to the establishment of multidisciplinary pain treatment facilities, such as pain centres. Previous studies have focussed on inpatient, group-based or time-limited multidisciplinary pain programmes. The aim was to investigate variation in patients’ experiences of attending individual outpatient multidisciplinary treatment at pain centres in Norway. Methods This was a qualitative study using semi-structured individual interviews with 19 informants. The informants were recruited among persons who after referral by their general practitioners 12 months prior had attended multidisciplinary pain treatment at a pain centre. The data were analysed thematically using systematic text condensation. Results The informants had received different treatments at the pain centres. Some had undergone only one multidisciplinary assessment in which a physician, a psychologist and a physiotherapist had been present, whereas others had initially been to a multidisciplinary assessment and then continued treatment by one or more of the professionals at the centre. Their experiences ranged from the pain centre as being described as a lifebuoy by some informants who had attended treatment over time, to being described as a waste of time by others who had only attended one or two multidisciplinary sessions. Prominent experiences included being met with understanding and a perception of receiving the best possible treatment, but also included disappointment over not being offered any treatment and perceiving the multidisciplinary approach as unnecessary. Conclusions There were large variations in the informants’ experiences in the pain centres. The findings indicate that the pain centres’ multidisciplinary approach can represent a new approach to living with chronic pain but may also not provide anything new. Efforts should be devoted to ensuring that the pain centres’ multidisciplinary treatment approach is aligned with their patients’ actual needs.

scholarly journals The Canadian STOP-PAIN project – Part 1: Who are the patients on the waitlists of multidisciplinary pain treatment facilities?

2010 ◽  
Vol 57 (6) ◽  
pp. 539-548 ◽  
Author(s):  
Manon Choinière ◽  
Dominique Dion ◽  
Philip Peng ◽  
Robert Banner ◽  
Pamela M. Barton ◽  
...  
Keyword(s):  
Pain Treatment ◽  
Treatment Facilities ◽  
Multidisciplinary Pain Treatment

scholarly journals Predictors of Long‐Term Opioid Effectiveness in Patients With Chronic Non‐Cancer Pain Attending Multidisciplinary Pain Treatment Clinics: A Quebec Pain Registry Study

Pain Practice ◽  
2020 ◽  
Vol 20 (6) ◽  
pp. 588-599
Author(s):  
Jean‐Luc Kaboré ◽  
Hichem Saïdi ◽  
Lise Dassieu ◽  
Manon Choinière ◽  
M. Gabrielle Pagé
Keyword(s):  
Cancer Pain ◽  
Pain Treatment ◽  
Registry Study ◽  
Multidisciplinary Pain Treatment

scholarly journals Factors associated with retention in faith-based drug treatment centers in the Mexican-American border

Salud Mental ◽  
2018 ◽  
Vol 41 (4) ◽  
pp. 169-177 ◽  
Author(s):  
Ietza Bojorquez ◽  
◽  
Daniel Rodríguez ◽  
Olga Odgers ◽  
Ramiro Jaimes ◽  
...  
Keyword(s):  
Residential Treatment ◽  
Mexican American ◽  
Drug Users ◽  
Religious Orientation ◽  
Retention Rate ◽  
Religious Affiliation ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Faith Based ◽  
Treatment Facilities

Introduction. Faith-based centers are major providers of residential treatment for substance use problems in Mexico, but relatively few studies have been conducted in this context. Objective. To explore factors associated with treatment retention in two faith-based (with different religious orientation) residential treatment facilities for male drug users in Tijuana, Mexico. Method. We conducted an exploratory follow-up study of 328 clients admitted during 2014-2015 to either an Evangelical Pentecostal center or a faith-based center without a specific religious affiliation. The main outcome was retention, defined as remaining in treatment for at least three months. Results. Among participants, the retention rate was 38.7%. Multivariate logistic regression models showed that age (OR 1.04; 95% CI [1.01, 1.06]; p = .002) and having used heroin or opioids in the past 30 days (OR .50; 95% CI [.25, 1.00]; p = .049) were associated with retention. Having a personal religious affiliation was associated with retention in the Evangelical Pentecostal center, but not in the center without a specific religious affiliation. Discussion and conclusion. The retention rate was low, but within the previously reported range. The interaction of personal religious affiliation and the religious orientation of the center suggests that a match between a person’s religious convictions and those of the center could be important for retention. More research is needed to clarify the utility of faith-based centers for religious and non-religious drug users.

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