Redesigning Delivery of Opioids to Optimize Pain Management, Improve Outcomes, and Contain Costs

Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA.
Pain Medicine (Impact Factor: 2.24). 12/2012; 14(1). DOI: 10.1111/pme.12013
Source: PubMed

ABSTRACT INTRODUCTION: Chronic pain is a public health concern, and in the last decade, there has been a dramatic increase in the use and abuse of prescription opioids for chronic non-cancer pain. METHODS: We present an overview of a five-component model of pain management implemented at the University of Washington Division of Pain Medicine designed to facilitate recent state guidelines to reduce the risks associated with long-term use of prescription opioids. RESULTS: Central to the model described are guidelines for best clinical practice, a collaborative care approach, telehealth solutions, comprehensive prescription-monitoring, and measurement-based care. DISCUSSION: The model presented is a patient-centered, efficient, and cost-effective approach to the management of chronic pain.

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