Medico-economic study of pain in an emergency department: a targeted literature review

Background: Pain management in emergency departments is a complex objective. The absence of a care pathway or a high level of activity complicates diagnostic or analgesic therapeutic strategies. Medical innovation can impact both individual practices and the functioning of an emergency department. O...

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Main Authors: Claude Dussart, Julien Gelas, Loïc Geffroy, Humbert de Fréminville, Virginie-Eve Lvovschi
Format: Article
Language:English
Published: MDPI AG 2019-01-01
Series:Journal of Market Access & Health Policy
Subjects:
Online Access:http://dx.doi.org/10.1080/20016689.2019.1659099
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author Claude Dussart
Julien Gelas
Loïc Geffroy
Humbert de Fréminville
Virginie-Eve Lvovschi
author_facet Claude Dussart
Julien Gelas
Loïc Geffroy
Humbert de Fréminville
Virginie-Eve Lvovschi
author_sort Claude Dussart
collection DOAJ
description Background: Pain management in emergency departments is a complex objective. The absence of a care pathway or a high level of activity complicates diagnostic or analgesic therapeutic strategies. Medical innovation can impact both individual practices and the functioning of an emergency department. Objective: We then wanted to understand how medico-economic studies on pain were carried out in an emergency department. Study design: We reviewed the literature of the last 20 years (between 1998 and 2018). Setting: Of 846 titles screened, a total of 268 abstracts qualified for further screening, and 578 titles were excluded. A total of 14 studies qualified for inclusion in the review. Studies on medico-economics in an emergency department are very diverse. None of the methods used are identical; the studies differ in their very nature (prospective, retrospective, cost-effectiveness, etc.) and the determination of emergency room costs differs according to the part of the world studied. In addition, organizational impact is rarely measured, although it is an essential dimension for choosing or not a medical innovation.
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spelling doaj.art-32d2e83ea40840668541a5ba6952c6e22024-04-02T09:28:06ZengMDPI AGJournal of Market Access & Health Policy2001-66892019-01-017110.1080/20016689.2019.16590991659099Medico-economic study of pain in an emergency department: a targeted literature reviewClaude Dussart0Julien Gelas1Loïc Geffroy2Humbert de Fréminville3Virginie-Eve Lvovschi4Lyon Public HospicesMilitary teaching hospitalUniversity Claude Bernard Lyon 1University Claude Bernard Lyon 1CHRU Charles NicolleBackground: Pain management in emergency departments is a complex objective. The absence of a care pathway or a high level of activity complicates diagnostic or analgesic therapeutic strategies. Medical innovation can impact both individual practices and the functioning of an emergency department. Objective: We then wanted to understand how medico-economic studies on pain were carried out in an emergency department. Study design: We reviewed the literature of the last 20 years (between 1998 and 2018). Setting: Of 846 titles screened, a total of 268 abstracts qualified for further screening, and 578 titles were excluded. A total of 14 studies qualified for inclusion in the review. Studies on medico-economics in an emergency department are very diverse. None of the methods used are identical; the studies differ in their very nature (prospective, retrospective, cost-effectiveness, etc.) and the determination of emergency room costs differs according to the part of the world studied. In addition, organizational impact is rarely measured, although it is an essential dimension for choosing or not a medical innovation.http://dx.doi.org/10.1080/20016689.2019.1659099medico-economicevaluationinnovationemergency departmentpain management
spellingShingle Claude Dussart
Julien Gelas
Loïc Geffroy
Humbert de Fréminville
Virginie-Eve Lvovschi
Medico-economic study of pain in an emergency department: a targeted literature review
Journal of Market Access & Health Policy
medico-economic
evaluation
innovation
emergency department
pain management
title Medico-economic study of pain in an emergency department: a targeted literature review
title_full Medico-economic study of pain in an emergency department: a targeted literature review
title_fullStr Medico-economic study of pain in an emergency department: a targeted literature review
title_full_unstemmed Medico-economic study of pain in an emergency department: a targeted literature review
title_short Medico-economic study of pain in an emergency department: a targeted literature review
title_sort medico economic study of pain in an emergency department a targeted literature review
topic medico-economic
evaluation
innovation
emergency department
pain management
url http://dx.doi.org/10.1080/20016689.2019.1659099
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AT humbertdefreminville medicoeconomicstudyofpaininanemergencydepartmentatargetedliteraturereview
AT virginieevelvovschi medicoeconomicstudyofpaininanemergencydepartmentatargetedliteraturereview