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Redesigning Delivery of Opioids to Optimize Pain Management, Improve Outcomes, and Contain Costs
Author(s) -
Cahana Alex,
Dansie Elizabeth J.,
Theodore Brian R.,
Wilson Hilary D.,
Turk Dennis C.
Publication year - 2013
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/pme.12013
Subject(s) - medicine , pain management , intensive care medicine , medline , physical therapy , political science , law
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 U niversity of W ashington D ivision of P ain M edicine 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.

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