Center for Health Care Evaluation, VA Palo Alto Health Care System, 795 Willow Road (152-MPD), Menlo Park, CA 94025 USA ; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305 USA.
Transl Behav Med. 2012 Mar;2(1):57-64. doi: 10.1007/s13142-011-0104-5.
The safe and effective prescribing of opioid therapy for chronic pain has become a significant health care priority over the last several years. Substantial research has focused on patient-oriented interventions toward preventing problematic use, but provider and system level factors may be more amenable to quality improvement approaches. Here, we outline administrative data-based metrics that are intended to assess adherence to key practices outlined in the 2010 Department of Veterans Affairs/Department of Defense Clinical Practice Guideline for management of opioid therapy for chronic pain. In addition to the metrics, we discuss their development process, which was done in consultation with experts on chronic opioid therapy.
在过去几年中，安全有效地为慢性疼痛患者开具阿片类药物治疗处方已成为医疗保健的一个重要优先事项。大量研究集中在以患者为导向的干预措施上，以防止出现问题性使用，但提供者和系统层面的因素可能更适合质量改进方法。在这里，我们概述了基于管理数据的指标，旨在评估对退伍军人事务部/国防部 2010 年管理慢性疼痛阿片类药物治疗临床实践指南中概述的关键实践的遵守情况。除了这些指标外，我们还讨论了它们的开发过程，这是在与慢性阿片类药物治疗专家协商后完成的。
