Analgesia and public health: what are the challenges?

Pain is a common problem, but unfortunately, it is one that is still notoriously neglected and poorly managed. Although it usually is not rated highly in public health statistics, it forms a substantial proportion of the everyday work of health care professionals, and thus remains a major public hea...

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Main Author: Glasziou, P
Format: Journal article
Language:English
Published: 2002
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author Glasziou, P
author_facet Glasziou, P
author_sort Glasziou, P
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description Pain is a common problem, but unfortunately, it is one that is still notoriously neglected and poorly managed. Although it usually is not rated highly in public health statistics, it forms a substantial proportion of the everyday work of health care professionals, and thus remains a major public health burden. The first challenge in successful pain management is overcoming the ineffective learning processes most health care practitioners use to update their procedures and therapies in response to the latest research. The ready availability of over-the-counter analgesics means that much of the pain in the community is now self-medicated, and it is vital that they also have ready access to the latest evidence-based recommendations. Second, better methods are needed to tailor treatment to individual patients because differences in comorbidities, drug metabolism, or the nature and severity of disease processes lead to different responses from individual patients. Such tailoring should also account for differences in side-effect profiles of the various treatment options available. Finally, even if health practitioners are aware of the latest in clinical evidence and recommended practices, they may not be able to implement the most appropriate treatment because of legal or financial barriers. This article will to review these three challenges to the management of pain and discuss practical ways in which they may be handled to help reduce the burden of pain care in society.
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spelling oxford-uuid:e4f12697-69dc-4516-93f6-fb1f3b83d2502022-03-27T10:20:18ZAnalgesia and public health: what are the challenges?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e4f12697-69dc-4516-93f6-fb1f3b83d250EnglishSymplectic Elements at Oxford2002Glasziou, PPain is a common problem, but unfortunately, it is one that is still notoriously neglected and poorly managed. Although it usually is not rated highly in public health statistics, it forms a substantial proportion of the everyday work of health care professionals, and thus remains a major public health burden. The first challenge in successful pain management is overcoming the ineffective learning processes most health care practitioners use to update their procedures and therapies in response to the latest research. The ready availability of over-the-counter analgesics means that much of the pain in the community is now self-medicated, and it is vital that they also have ready access to the latest evidence-based recommendations. Second, better methods are needed to tailor treatment to individual patients because differences in comorbidities, drug metabolism, or the nature and severity of disease processes lead to different responses from individual patients. Such tailoring should also account for differences in side-effect profiles of the various treatment options available. Finally, even if health practitioners are aware of the latest in clinical evidence and recommended practices, they may not be able to implement the most appropriate treatment because of legal or financial barriers. This article will to review these three challenges to the management of pain and discuss practical ways in which they may be handled to help reduce the burden of pain care in society.
spellingShingle Glasziou, P
Analgesia and public health: what are the challenges?
title Analgesia and public health: what are the challenges?
title_full Analgesia and public health: what are the challenges?
title_fullStr Analgesia and public health: what are the challenges?
title_full_unstemmed Analgesia and public health: what are the challenges?
title_short Analgesia and public health: what are the challenges?
title_sort analgesia and public health what are the challenges
work_keys_str_mv AT glaszioup analgesiaandpublichealthwhatarethechallenges