• Pain Med · Jan 2013

    Redesigning delivery of opioids to optimize pain management, improve outcomes, and contain costs.

    • Alex Cahana, Elizabeth J Dansie, Brian R Theodore, Hilary D Wilson, and Dennis C Turk.
    • Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA.
    • Pain Med. 2013 Jan 1;14(1):36-42.

    IntroductionChronic pain is a public health concern, and in the last decade, there has been a dramatic increase in the use and abuse of prescription opioids for chronic non-cancer pain.MethodsWe present an overview of a five-component model of pain management implemented at the University of Washington Division of Pain Medicine designed to facilitate recent state guidelines to reduce the risks associated with long-term use of prescription opioids.ResultsCentral to the model described are guidelines for best clinical practice, a collaborative care approach, telehealth solutions, comprehensive prescription-monitoring, and measurement-based care.DiscussionThe model presented is a patient-centered, efficient, and cost-effective approach to the management of chronic pain.Wiley Periodicals, Inc.

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