The Resource Evidence brief: : effectiveness of models used to deliver multimodal care for chronic musculoskeletal pain/, prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Coordinating CenterPortland VA Health Care System ; investigators, Kim Peterson, Johanna Anderson, Donald Bourne, Katherine Mackey, Mark Helfand

Evidence brief: : effectiveness of models used to deliver multimodal care for chronic musculoskeletal pain/, prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Coordinating CenterPortland VA Health Care System ; investigators, Kim Peterson, Johanna Anderson, Donald Bourne, Katherine Mackey, Mark Helfand

Label
Evidence brief: : effectiveness of models used to deliver multimodal care for chronic musculoskeletal pain/
Title
Evidence brief:
Title remainder
effectiveness of models used to deliver multimodal care for chronic musculoskeletal pain/
Statement of responsibility
prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Coordinating CenterPortland VA Health Care System ; investigators, Kim Peterson, Johanna Anderson, Donald Bourne, Katherine Mackey, Mark Helfand
Title variation
  • QUERI
  • Effectiveness of models used to deliver multimodal care for chronic musculoskeletal pain
Creator
Contributor
Author
Issuing body
Subject
Genre
Language
eng
Summary
"In Veterans, chronic pain may occur in up to 50% of those treated in primary care, and severe pain is more prevalent than in the general population. Chronic pain is a major public health challenge that is associated with serious physical and psychosocial impairment which costs the United States approximately $635 billion annually. Pain is a complex condition involving dynamic interactions between biological, psychological, and social factors unique to each individual. For this reason, pain care needs to be individually tailored, involving multiple care approaches and collaboration between primary and specialty care clinicians. Pain management guidelines, including those for the VHA, advocate for multimodal pain care. The VHA National Pain Management Strategy utilizes a stepped care model of pain management involving primary care and patient aligned care teams (PACTs), secondary consultation, and tertiary interdisciplinary pain centers. However, barriers to effective implementation of guideline-concordant care still exist, including: limitations in service accessibility; provider time constraints leading to fragmentation of the care process; complexity of treatment decisions due to variability in patients' pain characteristics and multimorbidities; variability in patient education, activation, expectations, suspicion, and mistrust; provider training and burnout; and reimbursement limitations. Thus, there is a need to identify effective models of chronic pain care with system-based interventions aiming to improve the delivery of multimodal care. Our objectives were to determine what multimodal care delivery models relieve chronic musculoskeletal pain and minimize unintended consequences, define key elements of and the resources required for these models, and identify patients who are most likely to benefit from these models"--Summary
Member of
Cataloging source
MMU
http://library.link/vocab/creatorName
Peterson, Kim
Government publication
federal national government publication
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
NLM call number
WE 140
http://library.link/vocab/relatedWorkOrContributorName
  • Anderson, Johanna
  • Bourne, Donald
  • Mackey, Katherine
  • Helfand, Mark
  • United States
  • Quality Enhancement Research Initiative (U.S.)
  • Veterans Administration Medical Center (Portland, Or.)
Series statement
Evidence-based synthesis program
http://library.link/vocab/subjectName
  • Musculoskeletal Pain
  • Chronic Pain
  • Combined Modality Therapy
  • Patient Care Team
  • Health Services Accessibility
  • Veterans Health
  • Hospitals, Veterans
http://bibfra.me/vocab/relation/supportingbody
HSMMvyXCYxg
Label
Evidence brief: : effectiveness of models used to deliver multimodal care for chronic musculoskeletal pain/, prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Coordinating CenterPortland VA Health Care System ; investigators, Kim Peterson, Johanna Anderson, Donald Bourne, Katherine Mackey, Mark Helfand
Instantiates
Publication
Note
  • "VA-ESP Project #09-199."
  • "January 2017."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
  • text
  • still image
Content type code
  • txt
  • sti
Content type MARC source
  • rdacontent
  • rdacontent
Control code
995850091
Extent
1 online resource (ii, 29 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations.
Specific material designation
remote
System control number
(OCoLC)995850091
Label
Evidence brief: : effectiveness of models used to deliver multimodal care for chronic musculoskeletal pain/, prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP) Coordinating CenterPortland VA Health Care System ; investigators, Kim Peterson, Johanna Anderson, Donald Bourne, Katherine Mackey, Mark Helfand
Publication
Note
  • "VA-ESP Project #09-199."
  • "January 2017."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
  • text
  • still image
Content type code
  • txt
  • sti
Content type MARC source
  • rdacontent
  • rdacontent
Control code
995850091
Extent
1 online resource (ii, 29 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations.
Specific material designation
remote
System control number
(OCoLC)995850091

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