Pain Medicine in Crisis—A Possible Model toward a Solution: Empowering Community Medicine to Treat Chronic Pain
Pain medicine in Israel and in the world has reached a crisis. The lack of available pain medicine services is resulting in the unsatisfactory treatment for chronic pain sufferers. The main causes of this crisis are: 1) the high prevalence of chronic pain, reaching levels of 17% in the adult populat...
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doaj-797b6b49d1154844b6569a1870ca668b2020-11-24T21:15:35ZengRambam Health Care CampusRambam Maimonides Medical Journal2076-91722013-10-0144e002710.5041/RMMJ.10134Pain Medicine in Crisis—A Possible Model toward a Solution: Empowering Community Medicine to Treat Chronic PainAmir Minerbi0Simon Vulfsons1Department of Family Medicine, Clalit Health Services, Haifa and Western Galilee District, Israel and Institute for Pain Medicine, Rambam Health Care Campus, Haifa, IsraelInstitute for Pain Medicine, Rambam Health Care Campus, Haifa, IsraelPain medicine in Israel and in the world has reached a crisis. The lack of available pain medicine services is resulting in the unsatisfactory treatment for chronic pain sufferers. The main causes of this crisis are: 1) the high prevalence of chronic pain, reaching levels of 17% in the adult population;2) the lack of appropriate training of primary care physicians in the field of chronic pain management; and 3) the paucity of consultation services in the field of chronic pain. In this journal article, we propose a possible model for the solution of the problem, based upon levels of treatment according to the severity of the disease and upon training of primary and secondary care physicians in the treatment of pain. According to the model, the vast majority of treatment and management will take place in the community after appropriate training of primary care physicians. More complex cases will be referred to secondary care community-based pain clinics manned by physicians with further in-depth training. Only the most complex of patients, or those needing specialized treatment such as invasive analgesic therapy, will be referred to tertiary pain centers manned by specialists in pain medicine. Implementation of this model will necessitate training of primary care physicians and the establishment of secondary care facilities and can, in our opinion, pose a pragmatic solution for the hundreds of thousands of patients suffering from chronic pain.http://rmmj.org.il/Pages/ArticleHTM.aspx?manuId=348Chronic paincrisis in pain medicinepostgraduate medical trainingprimary caresecondary care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Amir Minerbi Simon Vulfsons |
spellingShingle |
Amir Minerbi Simon Vulfsons Pain Medicine in Crisis—A Possible Model toward a Solution: Empowering Community Medicine to Treat Chronic Pain Rambam Maimonides Medical Journal Chronic pain crisis in pain medicine postgraduate medical training primary care secondary care |
author_facet |
Amir Minerbi Simon Vulfsons |
author_sort |
Amir Minerbi |
title |
Pain Medicine in Crisis—A Possible Model toward a Solution: Empowering Community Medicine to Treat Chronic Pain |
title_short |
Pain Medicine in Crisis—A Possible Model toward a Solution: Empowering Community Medicine to Treat Chronic Pain |
title_full |
Pain Medicine in Crisis—A Possible Model toward a Solution: Empowering Community Medicine to Treat Chronic Pain |
title_fullStr |
Pain Medicine in Crisis—A Possible Model toward a Solution: Empowering Community Medicine to Treat Chronic Pain |
title_full_unstemmed |
Pain Medicine in Crisis—A Possible Model toward a Solution: Empowering Community Medicine to Treat Chronic Pain |
title_sort |
pain medicine in crisis—a possible model toward a solution: empowering community medicine to treat chronic pain |
publisher |
Rambam Health Care Campus |
series |
Rambam Maimonides Medical Journal |
issn |
2076-9172 |
publishDate |
2013-10-01 |
description |
Pain medicine in Israel and in the world has reached a crisis. The lack of available pain medicine services is resulting in the unsatisfactory treatment for chronic pain sufferers. The main causes of this crisis are: 1) the high prevalence of chronic pain, reaching levels of 17% in the adult population;2) the lack of appropriate training of primary care physicians in the field of chronic pain management; and 3) the paucity of consultation services in the field of chronic pain.
In this journal article, we propose a possible model for the solution of the problem, based upon levels of treatment according to the severity of the disease and upon training of primary and secondary care physicians in the treatment of pain. According to the model, the vast majority of treatment and management will take place in the community after appropriate training of primary care physicians. More complex cases will be referred to secondary care community-based pain clinics manned by physicians with further in-depth training. Only the most complex of patients, or those needing specialized treatment such as invasive analgesic therapy, will be referred to tertiary pain centers manned by specialists in pain medicine.
Implementation of this model will necessitate training of primary care physicians and the establishment of secondary care facilities and can, in our opinion, pose a pragmatic solution for the hundreds of thousands of patients suffering from chronic pain. |
topic |
Chronic pain crisis in pain medicine postgraduate medical training primary care secondary care |
url |
http://rmmj.org.il/Pages/ArticleHTM.aspx?manuId=348 |
work_keys_str_mv |
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