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Developing Effective and Efficient care pathways in chronic Pain: DEEP study protocol.

Justin Durham1, Matthew Breckons, Vera Araujo-Soares

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This summary is machine-generated.

This study models care pathways for chronic orofacial pain (COFP) to improve patient outcomes and resource efficiency. Findings offer a framework for optimizing care in long-term conditions.

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Area of Science:

  • Health Services Research
  • Operations Research
  • Pain Management

Background:

  • Chronic orofacial pain (COFP) is a common condition in the UK.
  • Current care pathways for COFP require description and analysis.
  • There is a need to improve patient outcomes and resource efficiency in COFP care.

Purpose of the Study:

  • To describe and model current care pathways for COFP patients.
  • To identify areas for modification within existing pathways.
  • To assess the impact of pathway changes on patient outcomes and resource utilization.

Main Methods:

  • Prospective operations research approach with a cohort of 240 COFP patients.
  • Two-year follow-up with data collection at multiple time points on patient experiences, quality of life, pain, healthcare use, costs, and illness perceptions.
  • Qualitative interviews with 30 patients and appraisal by four stakeholder groups to inform economic modeling.

Main Results:

  • Economic modeling will yield incremental costs, Quality Adjusted Life Years (QALYs), and cost-per-QALY metrics.
  • Data analysis will identify specific areas for pathway modification.
  • Stakeholder input will prioritize changes for efficiency and improved outcomes.

Conclusions:

  • Well-defined clinical pathways can improve outcomes for chronic conditions, complementing technological advancements.
  • Understanding the opportunity cost of care pathways is crucial for the NHS.
  • The developed method for optimizing COFP care pathways can be applied to other chronic conditions.