Future Research and Good Care Characteristics
Written by Editor   
Wednesday, November 29, 2017 08:02 AM

Clearly, there is a gap in care service that appears to be related to the proper triage of persons with pain.  The access of these persons to the appropriate level of multidisciplinary care at the soonest opportunity should drive future research. Such research should focus on exploring, creating and testing pain care service approaches and methods, to determine those that fulfill the criteria of modern evidence-based practice.  The idea, of course, is to create a sustainable, comprehensive service with sufficient incentive and reward for the participating workforce. 

The principles to create such outcomes include:

1)   the use of the best available research evidence,
2)   clinical and business experience/expertise,
3)   stakeholder/consumer preference and access to care and, importantly,

4)   the available resources and funding.

Item 4 is an essential component of evidence-based practice often omitted in care frameworks and practice guidelines. There are significant barriers to multidisciplinary, collaborative working, such as professional “turf wars,” limited incentive and problems with funding.

The characteristics of good care are accessibility, quality care, safety, timely care and coordinated care. The complexity in chronic spinal pain management, as with other chronic conditions, is not only about the appropriate implementation of the individual parts of care but also ensuring that the triage, coordination of care and the multidisciplinary approach works well. This takes planning, commitment and leadership. 

The process starts with motivated, energetic health care practitioners with an interest in chronic pain management to take the reins and begin planning for such community-based, primary care services. These motivated persons would draw upon their own practice experience and obtain advice/support from local health care organizations to develop a business case and feasibility of a local pain service.

Community-based pain services are likely to develop through private funding or pain practitioners developing their own private practices that offer a broader range of services than currently offered. But guard against getting caught up in health care politics, where the attempt at integrating community-based care services can be negatively confounded by political influences.

Source:  http://www.chiro.org/research/ABSTRACTS/Looking_Ahead_Chronic_Spinal_Pain.shtml