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Pain Med. 2013 Jan;14(1):36-42. doi: 10.1111/pme.12013. Epub 2012 Dec 28.

Redesigning delivery of opioids to optimize pain management, improve outcomes, and contain costs.

Author information

1
Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA.

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.

PMID:
23279325
DOI:
10.1111/pme.12013
[Indexed for MEDLINE]

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