Priority interventions in chronic non-cancer pain published by Dove Medical Press

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Barriers to optimal management of chronic non-cancer pain in primary care are numerous. Improving its management cannot be envisioned without considering multifaceted interventions targeting several dimensions of the Chronic Care Model and focussing on both clinicians and patients.

The Journal of Pain Research has published the original research “Priority interventions to improve the management of chronic non-cancer pain in primary care: a participatory research of the ACCORD program

As corresponding author Professor Lyne Lalonde says “Primary care actors, including clinicians, patients and family members, managers, and researcher, identified challenges to chronic pain management which included knowledge gap, “work in silos”, lack of awareness regarding chronic pain, difficulties to access to health professionals and services, and the need to support patients’ empowerment. They recommended patient-centered interventions aligned with five dimensions of the chronic care model. To empower patients, it was proposed to offer self-management training supported by a paper or web pain-logbook for both patients and clinicians. Improving delivery-system design through interdisciplinary collaboration and team work supported by decision support tools (e.g., standardized evaluation forms, up-dated guidelines) and clinical information systems (e.g., electronic medical records) were recommended.”

Professor Lalonde continues “Interdisciplinary continuing education was also deemed necessary for clinicians to become familiar with use of such tools, and to develop interprofessional collaborative practices in pain management. Taking advantage of the leadership and peer-support role of pain experts in the primary care community was also recommended. Clearly, improving the management of chronic non-cancer pain in primary care cannot be envisioned without considering multifaceted interventions targeting several dimensions of the chronic care model and focussing on both clinicians and patients.”

As Dr Michael Schatman, Editor-in-Chief, explains “This is an astounding paper, as it emphasizes the potential, and the ability, to move chronic pain management to primary care - where it is most likely to be treated biopsychosocially.”

The Journal of Pain Research is an international, peer-reviewed, open access, online journal that welcomes laboratory and clinical findings in the fields of pain research and the prevention and management of pain.

Dove Medical Press Ltd is a privately held company specializing in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine.

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Angela Jones
Dove Medical Press
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