How to assess health outcomes in chronic non-cancer pain? Qualitative research

被引:0
作者
Tristancho, Rita [1 ]
Hernandez, Enrique Barez [2 ]
Alvarez, Javier Ferrero [3 ]
Fernandez, Rodrigo Gutierrez [4 ]
Hernandez, Alberto Pardo [5 ,6 ]
Jimenez, Juana Sanchez [7 ]
Lojo, Ana Isabel Vazquez [8 ]
Ortega, Anton Herreros [9 ]
Soves, Jose Joaquin Mira [10 ,11 ]
机构
[1] Direcc Gen Programas Asistenciales, Serv Evaluac Cal Asistencial & Sistemas Informac, Serv Canario Salud, Las Palmas Gran Canaria, Spain
[2] Sede Txagorritxu, OSI Araba, Vitoria, Spain
[3] Agencia Cal Sanitaria Andalucia, Pabellon Italia, Seville, Spain
[4] Consejeria San Castilla La Mancha, Serv Programas Humanizac, Direcc Gen Humanizac & Atenc Sociosanitaria, Toledo, Spain
[5] Consejeria San Comun Madrid, Subdirecc Gen Cal Asistencial, Madrid, Spain
[6] Univ Rey Juan Carlos, Dept Especial Med & Salud Publ, Madrid, Spain
[7] Ctr Salud Daroca, Madrid, Spain
[8] Liga Reumatol Gallega & Liga Reumatol Espanola, Madrid, Spain
[9] FUINSA, Fdn Invest Salud, Madrid, Spain
[10] Univ Miguel Hernandez, Alicante, Spain
[11] Dept Salud Alicante St Joan, Alicante, Spain
关键词
Chronic pain; Patients; Quality of health care; MEDICAL-CARE;
D O I
10.1016/j.jhqr.2022.05.006
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Introduction and objectives: There is a lack of indicators that evaluate the health results of the non-cancer chronic pain (NCCP). The objective of this study was to agree on how to evaluate health outcomes in NCCP in Spain, as well as to propose lines of action to have an optimal evaluation framework not only for patients, but for healthcare professionals and managers as well.Material and methods: This was a qualitative research study through directed group interviews which followed a script based on structured questions using the PICO methodology.Results: More than the intensity of pain, the main points to be measured are pain-free time, improved rest/sleep, improved mood, recovery of daily activities and adherence to treatment, in addition to -in the scope of management- resource consumption. The therapeutic objective must be defined individually, based on the adjustment of expectations between the healthcare professional and the patients, taking into account their preferences and involving them in the therapeutic process. Patients and caregivers must be informed and trained with special emphasis on the psycho-emotional sphere of pain.Conclusions: It is necessary to evaluate the health outcomes in NCCP in Spain. Lines of action are proposed that might provide an adequate assessment framework for the patient, the healthcare professionals and the health managers.& COPY; 2022 FECA. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:35 / 42
页数:8
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