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  1. Economic implications of pain management.

    Article, Communication - En anglais

    International Copenhagen Pain Symposium. .

    Background 

    Economic issues in pain management affect the patient, the provider and society.

    This paper will review some of the data on the costs to society of chronic pain and its associated disability.

    It will also look at the costs to patient and provider of alternative economic models.

    Conceptual issues that underlie health care delivery and the attendant costs must be addressed if society is to gain control over runaway health care costs and reduce the economic burden of chronic pain and disability for the patient as well as the provider.

    Methods 

    Literature review and synthesis.

    Results 

    Chronic pain is the primary cause of health care consumption and disability in the working years.

    Multidisciplinary pain clinics have proven utility.

    Data on efficacy of most other kinds of care is lacking.

    Disability costs are related to conceptual inadequacies and the medicalization of post-industrial societies.

    Conclusion 

    To control inappropriate care and escalating costs, we must change concepts of pain and disability and the methods of funding both of these in relation to chronic pain.

    The outcome of the continuing struggle between the profession of medicine, the state and capitalists will determine how and whether pain management is a part of medical care.

    Mots-clés Pascal : Douleur, Chronique, Homme, Traitement, Coût, Economie santé

    Mots-clés Pascal anglais : Pain, Chronic, Human, Treatment, Costs, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0516374

    Code Inist : 002B30A11. Création : 18/05/2000.