Patient Experiences Navigating Chronic Pain Management in an Integrated Health Care System: A Qualitative Investigation of Women and Men
Driscoll MA, Knobf MT, Higgins DM, Heapy A, Lee A, Haskell S. Patient Experiences Navigating Chronic Pain Management in an Integrated Health Care System: A Qualitative Investigation of Women and Men. Pain Medicine 2018, 19: s19-s29. PMID: 30203009, DOI: 10.1093/pm/pny139.Peer-Reviewed Original ResearchMeSH KeywordsAgedChronic PainDelivery of Health Care, IntegratedFemaleHumansMaleMiddle AgedPain ManagementQualitative ResearchUnited StatesUnited States Department of Veterans AffairsConceptsIntegrated health care systemHealth care systemPain careCare systemNational integrated health care systemRate of painChronic pain managementChronic pain patientsVeterans Affairs (VA) careMedication usePain managementPain patientsIntegrated health careProvider communicationPatient educationMedical CenterPatient expectationsPainProvider behaviorConstant comparative approachCareHealth careLogistical barriersWomenWomen's perceptionsProject STEP: Implementing the Veterans Health Administration’s Stepped Care Model of Pain Management
Edmond SN, Moore BA, Dorflinger LM, Goulet JL, Becker WC, Heapy AA, Sellinger JJ, Lee AW, Levin FL, Ruser CB, Kerns RD. Project STEP: Implementing the Veterans Health Administration’s Stepped Care Model of Pain Management. Pain Medicine 2018, 19: s30-s37. PMID: 30203015, DOI: 10.1093/pm/pny094.Peer-Reviewed Original ResearchConceptsVA Connecticut Healthcare SystemPrimary care providersVeterans Health AdministrationPain careStepped care modelCare providersPain managementCare modelHealth care utilization dataMultimodal pain careNonopioid analgesic prescribingLong-term opioidsElectronic health record dataPain intensity ratingsHealth record dataClinical health psychologyNonpharmacological servicesAnalgesic prescribingOpioid prescribingPharmacological managementNonpharmacological approachesNonpharmacological treatmentsReferral practicesPhysical therapyCare practices