德尔菲研究探索高功能疼痛管理团队的指标
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
概括
高功能的疼痛管理团队 (PMTs) 需要在四个领域提供明确的指标:团队价值观,服务,患者互动和系统集成. 这种共识定义有助于优化慢性疼痛护理的提供.
科学领域:
- 疼痛管理 疼痛管理
- 医疗保健系统研究 医疗保健系统研究
- 团队科学 团队科学
背景情况:
- 慢性疼痛管理需要全面,跨学科和多模式的策略.
- 实施有效的疼痛管理团队 (PMT) 在各个医疗保健机构之间存在很大差异.
- 退伍军人卫生管理局越来越多地使用各种结构和尺寸的PMT.
研究的目的:
- 确定高功能疼痛管理团队 (PMT) 的指标.
- 在慢性疼痛治疗中为有效的PMT制定共识定义.
- 探索跨学科团队内疼痛专家的独特考虑.
主要方法:
- 一项经过修改的Delphi研究采用了47名疼痛管理专家.
- 一个三轮的共识过程确定了关键指标.
- 定性分析将指标分类为概念领域.
主要成果:
- 确定了49个高功能PMT的共识指标.
- 这些指标分为四个领域:团队特征和价值观,团队背景和服务,临床医生与患者的互动以及卫生系统的整合.
- 榜样性指标包括相互尊重,药物管理,患者沟通和设施支持.
结论:
- 综合性疼痛治疗的复杂性体现在高功能PMT的众多指标中.
- 结果建立在现有的跨学科团队文献上,同时突出了疼痛特定的考虑因素.
- 为衡量和促进医疗中心的PMT实施提供了一个框架.
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