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Improving state pain policies: recent progress and continuing opportunities.

Aaron M Gilson1, David E Joranson, Martha A Maurer

  • 1US Policy Research, the Pain & Policy Studies Group, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

CA: a Cancer Journal for Clinicians
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PubMed
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Millions suffer from chronic pain, with inadequate relief often due to policy failures. Improving pain management policies is crucial for effective patient care and treatment.

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Area of Science:

  • Public Health
  • Health Policy
  • Pain Management

Background:

  • 100 million Americans experience chronic pain, impacting cancer patients and survivors.
  • Inadequate pain relief stems from knowledge gaps and regulatory barriers, including fear of opioid prescribing investigations.
  • National and international bodies emphasize evaluating and enhancing pain management policies.

Purpose of the Study:

  • To evaluate US federal and state policies governing the medical use of pain medication.
  • To document improvements in state pain policies based on national evaluations.
  • To explore the role of clinicians and professional organizations in policy enhancement.

Main Methods:

  • Conducted a pilot examination of state laws and regulatory policies.
  • Developed a research program through the Pain & Policy Studies Group.
  • Performed 3 national policy evaluations.

Main Results:

  • State policies often contain outdated medical concepts and prescribing restrictions.
  • Policies lacked key elements to prioritize pain management for practitioners.
  • Results are being utilized to drive improvements in state-level pain policies.

Conclusions:

  • Existing pain management policies require significant updates to reflect current medical knowledge.
  • Policy reform is essential to ensure effective pain relief and appropriate opioid use.
  • Clinicians and organizations have a vital role in advocating for improved state pain policies.