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Estudio Delphi para explorar indicadores de equipos de manejo del dolor de alto funcionamiento
Daniel G Rogers1, Jennifer L Snow2, Callie Rose Teufert2
1VA Connecticut Healthcare System, West Haven, Connecticut; Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut.
The journal of pain
|February 13, 2026
Resumen
Los equipos de manejo del dolor (EMD) de alto funcionamiento requieren indicadores claros en cuatro dominios: valores del equipo, servicios, interacción con el paciente e integración del sistema. Esta definición de consenso ayuda a optimizar la prestación de atención para el dolor crónico.
Área de la Ciencia:
- Manejo del dolor
- Investigación de sistemas de atención médica
- Ciencia de equipos
Sus antecedentes:
- El manejo del dolor crónico requiere estrategias integrales, interdisciplinarias y multimodales.
- La implementación de equipos de manejo del dolor (EMD) efectivos varía significativamente en los entornos de atención médica.
- La Administración de Salud de Veteranos utiliza cada vez más EMD de diversas estructuras y tamaños.
Objetivo del estudio:
- Identificar indicadores de equipos de manejo del dolor (EMD) de alto funcionamiento.
- Trabajar hacia una definición de consenso para EMD efectivos en la atención del dolor crónico.
- Explorar consideraciones únicas para especialistas en dolor dentro de equipos interdisciplinarios.
Principales métodos:
- Se empleó un estudio Delphi modificado con 47 expertos en manejo del dolor.
- Un proceso de consenso de tres rondas identificó indicadores clave.
- El análisis cualitativo categorizó los indicadores en dominios conceptuales.
Principales resultados:
- Se identificaron cuarenta y nueve indicadores de consenso de EMD de alto funcionamiento.
- Los indicadores se organizaron en cuatro dominios: Características y valores del equipo, Antecedentes y servicios del equipo, Interacciones clínico-paciente e Integración del sistema de salud.
- Los indicadores ejemplares incluyen el respeto mutuo, el manejo de medicamentos, la comunicación con el paciente y el apoyo de las instalaciones.
Conclusiones:
- La complejidad de la atención integral del dolor se refleja en los numerosos indicadores para EMD de alto funcionamiento.
- Los hallazgos se basan en la literatura existente sobre equipos interdisciplinarios y resaltan consideraciones específicas para el dolor.
- Se proporciona un marco para medir y facilitar la implementación de EMD en centros médicos.
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