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Pages 1-18

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From page 1...
... 2 Because of a computational error, the initial publication of the report Relieving Pain in America contained an erroneous estimate of the number of adults who experience chronic pain in the United States. A re-analysis of the study by Tsang and colleagues (2008)
From page 2...
... Committee on Advancing Pain Research, Care, and Education. CHARGE TO THE COMMITTEE AND STUDY APPROACH Section 4305 of the 2010 Patient Protection and Affordable Care Act required the Secretary, Department of Health and Human Services (HHS)
From page 3...
... THE NEED FOR A CULTURAL TRANSFORMATION IN THE WAY PAIN IS VIEWED AND TREATED Pain serves a vital function as a warning sign of injury or infection, but once its warning role is over, continued pain is maladaptive. Chronic pain results in many changes in the peripheral and central nervous systems that aid in its per
From page 4...
... And finally, it means that the biomedical research community should pursue pain research with the same vigor expended on other serious and disabling chronic conditions. FINDINGS AND RECOMMENDATIONS The findings and recommendations presented in this report revolve around a single conclusion: Chronic pain alone affects the lives of approximately 100 million Americans, making its control of enormous value to individuals and society.
From page 5...
... The committee's recommendations and the findings that support them fall into four areas that serve to structure the main chapters of the report: pain as a public health challenge, care of people with pain, education challenges, and research challenges.3 Pain as a Public Health Challenge Pain affects millions of Americans; contributes greatly to national rates of morbidity, mortality, and disability; and is rising in prevalence. Substantial dis parities exist in the prevalence, seriousness, and adequate treatment of pain that affect the vulnerable populations of traditional public health concern.
From page 6...
... Pain data need to be based on standardized questions, preferably using existing international standards, to facilitate comparisons over time and across populations. These data would be useful for a wide range of stakeholders, including policy makers, health care providers, health professions educators, professional licensing authorities, pain advocacy and awareness organizations, and researchers.
From page 7...
... ; private sector entities (pain advocacy and awareness organizations; health professions associations; health care providers; health professions educators; private insurers; and accreditation, certification, and ex amination organizations) ; and state-level entities.
From page 8...
... Pain care must be tailored to each person's experience. Pain management takes place through self-management, primary care, specialty care, and pain centers.
From page 9...
... Health professions education and training programs, professional associations, and other groups that sponsor continuing education for health professionals should develop and provide educational opportunities for primary care practitioners and other providers to improve their knowledge and skills in pain assessment and treatment, including safe and effective opioid prescribing. Recommendation 3-4.
From page 10...
... Provide consistent and complete pain assess ments. Health care providers should provide pain assessments that are consistent and complete and documented so that patients will receive the right care at the right place and the right time.
From page 11...
... The Centers for Medicare and Medicaid Services, the Health Resources and Services Administration, accrediting or ganizations, and undergraduate and graduate health professions train ing programs should improve pain education curricula for health care professionals. Recommendation 4-3.
From page 12...
... Designate a lead institute at the National Institutes of Health responsible for moving pain research forward, and increase the support for and scope of the Pain Consortium. The National Institutes of Health should designate a specific institute to lead efforts in advancing pain research.
From page 13...
... Increase support for interdisciplinary re search in pain. Federal agencies, such as the National Institutes of Health, Agency for Healthcare Research and Quality, Centers for Dis ease Control and Prevention, Department of Defense, and Department of Veterans Affairs, as well as private funders of pain research, should increase support for interdisciplinary research and research training -- across agencies and professions -- on pain-related diseases and the defi ciencies noted in Finding 5-1.
From page 14...
... , outcomes research community and other researchers, credentialing organizations, pain advocacy and awareness organizations, health professions associations (including pain specialty professional organizations) , private insurers, health care providers, state health departments, Medicaid programs, and workers' compensation programs 3-2.
From page 15...
... Promote Health professions Requires the development of better and and enable self- associations (including more evidence-based patient education management of pain pain specialty professional products organizations) , pain advocacy and awareness organizations, health care providers 3-3.
From page 16...
... 4-1. Expand and FDA, CDC, AHRQ, CMS, Focus is on patient education and redesign education Surgeon General, DoD, VA, public education; includes pain programs to pain advocacy and awareness prevention transform the organizations, health understanding of professions associations pain (including pain specialty professional organizations)
From page 17...
... Increase support NIH, AHRQ, CDC, DoD, Based on Recommendation 5-1; basic, for interdisciplinary VA, pharmaceutical translational, and clinical studies research in pain manufacturing and research should involve multiple agencies and industry, private funders of disciplines; focus on knowledge gaps pain research, academically based biomedical research community, pain advocacy and awareness organizations 5-4. Increase NIH, AHRQ, CDC, DoD, Based on Recommendation 5-1; the conduct of VA, pharmaceutical includes translational, population longitudinal research manufacturing and research health, and behavioral aspects of pain in pain industry, Patient-Centered care (social and multimodal aspects, Outcomes Research Institute, not just medications and other single private funders of pain modalities)


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