Cheatle Martin D
Center for Studies of Addiction, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, 4th Floor, Philadelphia, PA 19104, USA.
Med Clin North Am. 2016 Jan;100(1):43-53. doi: 10.1016/j.mcna.2015.08.007.
Chronic pain affects nearly one-third of the American population. Chronic pain can lead to a variety of problems for a pain sufferer, including developing secondary medical problems, depression, functional and vocational disability, opioid abuse and suicide. Current pain care models are deficient in providing a necessary comprehensive approach. Most patients with chronic pain are managed by primary care clinicians who are typically ill prepared to effectively and efficiently manage these cases. A biopsychosocial approach to evaluate and treat chronic pain is clinically and economically efficacious, but unique delivery systems are required to meet the challenge of access to specialty care.
慢性疼痛影响着近三分之一的美国人口。慢性疼痛会给疼痛患者带来一系列问题，包括引发继发性医疗问题、抑郁、功能和职业残疾、阿片类药物滥用以及自杀。当前的疼痛护理模式在提供必要的综合方法方面存在不足。大多数慢性疼痛患者由初级保健临床医生管理，而这些医生通常没有充分准备好有效且高效地处理这些病例。采用生物心理社会方法来评估和治疗慢性疼痛在临床和经济方面都是有效的，但需要独特的服务体系来应对获得专科护理的挑战。
