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Chronic pain care: time for excellence.

Laura Heath1,2, Andrew Philip2

  • 1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK laura.heath@phc.ox.ac.uk.

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Summary

The healthcare system struggles with the chronic pain epidemic. Resetting the narrative towards excellence requires addressing system biases that hinder positive change and improve patient outcomes.

Keywords:
chronic painhealth care quality, access, and evaluationphysicians, primary careprimary health care

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Area of Science:

  • Health Systems Science
  • Pain Management
  • Public Health

Background:

  • The current healthcare system faces challenges in managing the widespread epidemic of chronic pain.
  • A shift in perspective is needed to move beyond mere coping mechanisms towards achieving excellence in pain care.

Purpose of the Study:

  • To redefine the narrative surrounding chronic pain management within the healthcare system.
  • To illustrate a vision of excellence in addressing the chronic pain epidemic.
  • To identify systemic biases impeding progress in pain care.

Main Methods:

  • This is a reflection and conceptual analysis.
  • Literature review on health system performance and pain management.
  • Analysis of systemic factors influencing healthcare delivery for chronic pain.

Main Results:

  • Excellence in chronic pain care requires a proactive, patient-centered approach.
  • Systemic biases, including those related to access, stigma, and fragmented care, are significant barriers.
  • Current system designs often prioritize symptom management over holistic recovery.

Conclusions:

  • A fundamental reset of the health system's narrative on chronic pain is essential.
  • Achieving excellence necessitates dismantling existing system biases.
  • Future efforts must focus on creating a system that truly supports recovery and well-being for individuals with chronic pain.